SOUTH DAKOTA
2007-2008 TRAINING
For more information or help applying, contact:
Randy Maddox
Training Coordinator
South Dakota Office of Emergency Management
(605) 773-4108
Send application to:
South Dakota Office of Emergency Management
Attention: Randy Maddox
118 West Capitol Avenue
Pierre, South Dakota 57501-2000
APPLICANT: _____________________________________________
___________________________________________COUNTY
CONTACT NAME: ________________________________________
AGENCY: _______________________________________________
ADDRESS: ______________________________________________
CITY: ______________ STATE: ______ ZIP CODE: ____________
PHONE (DAY): ___________________________________________
E-Mail Address: ___________________________________________
NON-SUBMISSION OF ANY ITEM MAY DELAY YOUR APPLICATION
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2007-08 TRAINING GRANT PROPOSED BUDGET |
Start Date:________ |
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CLASS: |
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End Date: ________ |
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Brief Class Description: |
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LOCATION: |
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INSTRUCTOR: |
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Expected Number of Participants |
_________________ |
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Budget Information |
$ |
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Instructors fees |
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Instructors mileage costs if applicable |
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Instructors per diem costs if applicable |
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Instructors lodging costs if applicable |
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Class Room Rental fee if applicable |
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Books if applicable |
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Equipment and Supplies |
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Volunteer time: XX students @ 12.76 / Class Room Hour / Student |
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Other (Specify) |
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Project Total Cost |
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a |
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Soft Match funds from above |
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b |
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Hard Match (IF NEEDED) |
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c |
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Grant Request Amount (a-b-c) |
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Name, Title and Signature of Course Sponsor Authorized Person: |
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NAME (PRINT): |
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SIGNATURE: |
____________________________________________ |
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DATE: |
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TITLE: |
____________________________________________ |
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I certify that all information given in this grant application is true and correct and that all funds |
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distributed to the above applicant will be used solely for the project and purposes described in this grant application. |
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