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 Policy No. 503
Grant Procurement/Administration No. 503.1
RFP Grant Review Form, Supplement 2 No. 503.1s2
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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