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Brownfields Training, Research, and Technical Assistance Grants and Cooperative Agreements Program - Appendix C

Requested Assistance Type(s) and Funding Form

Requested Grant/Cooperative Agreement Type and Funding (print/copy and complete and submit with proposal)

Name of Applicant:____________________________________
Please respond as appropriate.

Subject Area (check all that apply)

Community Involvement
Integrated Approaches to Brownfields Cleanup and Redevelopment
Economics of Brownfields Cleanup and Redevelopment

What is the total amount of funds requested? $__________________

What is the approximate period of performance for your project?
2 year   3 year
4 year   5 year

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