Change of Scope/Extension Request
Resident Directed (ReDi) Grants
Name of Organization
*
Enter your organization's legal name.
Name of Project
*
Project Number
*
Contact Name
*
Organization Email
*
example@example.com
Organization Phone
*
Format: (000) 000-0000.
What are you requesting?
*
Change of scope for project
Extension for project
Both
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Change of Scope/Extension Request
Resident Directed (ReDi) Grants
Please state the original purpose of the grant:
*
0/500
Explain why a change of scope is required:
*
0/500
Describe what work, if any, has been completed:
*
0/500
If a Change of Scope has been requested, please enter the updated budget to capture how the funds will be allocated to the proposed new project (if more space required, please enter in the additional comments box)
*
Rows
Budget Item
Amount
1
2
3
4
5
6
7
8
9
10
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12
Updated Budget Total
To date, how much ReDi funding has been spent on the project?
*
To date, how much ReDi funding remains?
Describe how the remaining funds will be used:
*
0/500
Please provide an estimate of when the project will be complete.
*
-
Month
-
Day
Year
Project period is from May approval date of your grant to June 30 the following year
Additional Comments
0/500
Signature
*
Submit
Should be Empty: