Return to :
Region 13 Staff
P. O. Box 3197
La Grande Oregon 97850
or email to:
neoeddlg@uwtc.net
Company Name:
Industry:
Project Contact:
Name:
Organization(s):
Address/Zip Code:
Phone:__________________ Fax:_________________ Email:_________________________
Total Grant Funds Requested $
Cash Matching Funds ($1 in cash or in-kind match needed for each $1 in grant funding)$
Other Match (In-kind: wages
for training, space, equipment, other company resources, contact staff listed
above for assistance with match ideas if needed.)
Description:_____________________________________________________________________
Value $
Description:_____________________________________________________________________
Value $
Description:_____________________________________________________________________
Value $
Description:_____________________________________________________________________
Value $
Total Project Cost $
Application
page 2
Reporting Responsiblities
Employer Workforce Training Grant Program