County: 

Project Name:   

Organization Proposing Project:  

Contact:     Telephone:          Email: 

Proposed Project Completion Date:      Objective and Goal (from Area Plan): 

Description:

Problem: 

Estimated Cost:              Local Match: 

Local Match:  (In Kind)

Present Status:

Who is Involved: 

Type of assistance needed (be specific):

Upon completion, print and mail it to High Country RC&D Office.