Procedure No. 503.1 - Supplement 2


Revised: 09/06/16

Atlantic Cape Community College

SAMPLE REQUEST FOR INTERAGENCY AGREEMENT REVIEW FORM

Form to be completed by Workforce Development in Consultation with Resource Development Department

Date: Name of Funding Agency:

Name of Reviewer:

Name of Staffer to Lead Project:

Amount of Agreement:

Deadline for Submission:

Targeted Population:

Level of Service:

Purpose of Agreement:

Identify Potential Barriers:

Additional Grant Information for Board Resolution:

a. Is there a match? _____YES _____NO If yes, identify possible source(s)

b. College In-kind contributions

c. Date agreement period starts:

d. Date agreement period ends:

 

Procedures:

Grant Procurement/Administration No. 503
Grant Procurement/Administration
No. 503.1
Grant Pre-Proposal Form, Supplement 1 No. 503.1s1
Acquisition, Use and Disposal of Perkins Equipment No. 503.2
Procedure for Letters of Support Related to Grant Applications No. 503.3

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