Organization Name President Chief Your Name (Main Contact for Grant Request) Your Email Best Contact Phone Number Purpose of Grant Request Matching funds (if any) provided by requesting agency Identify federal, state, local funding sources and the dollar amount from each source Please list any additional funding sources dedicated toward this grant request and identify the dollar amount from each source Total expected cost to complete this purchase/project How is this grant request related to any emergency medical service purpose or need? Detailed narrative explaining how this grant will benefit EMS in Talbot County Any additional information: Upload file (if applicable) filetypes:pdf|txt limit:2mb The Talbot Paramedic Foundation requires verification that the funding was utilized toward completion of the grant request project. For additional information, please contact Wayne Dyott using our contact form.
