Matching Funds Request Form

The CIRCA Executive Steering Committee is excited to announce funding under the Matching Funds Program - up to $100,000 is available. CIRCA will consider requests from Connecticut municipalities, institutions, universities, foundations, and other non-governmental organizations for matching funds for projects that address the mission of the Institute.

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Applicant Information
Institution*
Principal Investigator*
Contact Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
FAX
Schedule
Date funds would be needed*
MM slash DD slash YYYY
Project End Date*
MM slash DD slash YYYY
Primary Sponsor Name*
Primary Sponsor Proposal Deadline*
Project Title*
Budget
Note: B + C + D + E = A Note: C must not exceed 25% of B
A. Total estimated project costs*
B. Primary sponsor contribution*
C. Amount of CIRCA Matching Funds requested*
D. Amount of Applicant Contributions (list specific grants)
E. Additional Funding Sources

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Connecticut Institute for Resilience & Climate Adaptation (CIRCA)

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Applicant Information

Schedule

Budget

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Contact CIRCA

Phone:	860-405-9214
E-mail:	circa@uconn.edu
Address:	University of Connecticut: Avery Point Campus 1080 Shennecossett Rd, Groton, CT 06340