Please complete sections 1 & 2 and send to:  
Ken Merz
44 Midwood Ave.
Allendale, NJ 07401
        
RUTGERS COOPERATIVE EXTENSION AND
MASTER GARDENER ASSOCIATION OF PASSAIC COUNTY

APPLICATION FOR NEW* & CONTINUED PROJECT REIMBURSEMENT FOR 2019

1.	PROJECT  
 
•	NAME OF PROJECT:   

•	ADDRESS OF PROJECT: 

•	MG PROJECT COORDINATOR/LEADER: 

HOME PHONE:                                                    

CELL PHONE:

•	PROPOSED WORK/PROJECTED PURPOSE:  

•	ESTIMATED NUMBER OF MG PARTICIPANTS:

2.	PROJECT  FUNDING
                                                     
•	AMOUNT REQUESTED:  
OR

•	CONTRIBUTION BY MGAPC:

3.  *NEW PROJECTS ONLY – RCE PROGRAM ASSOCIATE APPROVAL

•	SIGNATURE/DATE APPROVAL: 

4.  ALL PROJECTS - MGAPC BOARD APPROVAL

•	SIGNATURE(S)/DATES APPROVAL: