Project Proposal

PROJECT or ACTIVITY SUBMISSION FORM

Please use this form to submit a proposal to the Greater Nipissing Stewardship Council, Box 1391, 101 Worthington St. E., North Bay, ON P1B 8K5.

Click here for a printer-friendly form you can mail in.

* First Name:

* Last Name:

Affiliation

* Address line 1

Address line 2

* City

* Province/State

* Postal Code (no spaces)

* Country

* Phone

e-mail address

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* PROJECT / ACTIVITY PROPOSAL NAME:

* Brief description about your proposal [objective(s), desired outcome(s)]:

0/100 words

* Type of Project: (check off all applicable boxes)

Ongoing	New
Single Year	Multi-Year

* Anticipated Start Date:

* Completion Date:

* Estimated Cost:

* Type of Support Being Requested:

	Proponent		GNSC		Other Partner(s)		Other
In-kind (securing funds, administrative support, professional/technical assistance, promotion)
Funding

Other. Please specify

0/40 words

* Indicates Response Required