Josephine County/City of Grants Pass Solid Waste Agency Effective 7/01/2018 G:\AGENCIES_COMMITTEES\AGENCIES\SW AGENCY\Funding Requests
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5. If applicable, list other anticipated sources of funding, funding amount and status of
request (when listing sources of funds, give a detailed breakdown, using an additional
sheet if necessary).
SECTION V - VOLUNTEER PARTICIPATION
1. Estimated number of volunteers who have provided service to the organization in the past
2. Estimated number of volunteer hours in the past year: ____________ hours.
3. Description of any volunteer groups:
SECTION VI: - PUBLICITY/PROMOTION
Prominent acknowledgement of the Josephine County/City of Grants Pass Solid Waste Agency is
required of all recipients for use in all publicity materials, including, but not limited to brochures, press
releases, programs, posters, public service announcements, flyers, newsletters, and advertisements in
regards to this particular project following funding approval by the Agency.
SECTION VII - QUARTERLY REPORTS
All agency funded recipients are required to make quarterly reports, and present the results at
regularly scheduled Agency meetings regarding the status of the project.
SECTION VIII: - ACCURACY
I hereby certify, to the best of my knowledge and belief, that the information submitted with this request is
accurate and that the attached budget was approved by our governing board. We also agree to allow the Solid
Waste Agency to review the books and records of the applicant should they so desire. Undersigned is
authorized to sign and bind the applicant.