OFFICE OF SENATOR CHARLES E. SCHUMER
Fiscal Year 2010 NON-Defense Appropriations Form
** Do not alter this form.  Altered forms may not be considered**

Please read the attached instructions carefully before filling out this form to help you 
provide the most complete and accurate information.  Form is due February 13, 2009.

Organization Information

Date Submitted:       

Legal Name of Submitting Institution:      

Address of Submitting Institution: (No Post Office Boxes Please)
     

City:       

County/Borough in New York State:      

Website:      

Has your organization ever received a federal earmark?  No

If yes, please list all projects, the fiscal year(s) they were included, and the 
Congressional Sponsor:
     

Is your organization for profit or not for profit?  For Profit


FY2010 Project Proposal

Project Title:      

Project Description: (Please limit this section to 1-2 sentences and 250 characters on 
specifically what requested funds will be used for.  You will be able to provide a longer 
description later in this form.)
     

Amount of funding being requested from this office: $     

Our request best fits into the AG Appropriations Bill,       Program.  (If you are 
unsure, please leave this question blank and my Director of Appropriations will choose a bill and 
program for you.)

If this is a Transportation project, have you confirmed either with the USDOT or 
the NY State DOT that this project is eligible for funds provided under the 
requested account?  Yes

Priority (if submitting more than one request): 1

Is this program included in the president's budget?  No

If yes, for how much? $      

What is the total cost of the project you are requesting funds for? $      

Please list ALL anticipated sources of funding for the PROJECT and the amount 
you expect to receive from each source. (e.g. State, Local, Private)
     

Please list the amount that you have raised to date and the amount of work you 
have completed.
     

Which member(s) of the House of Representatives is also making this request? 
(Please include the name of the Representative, name of lead staffer and phone number for each 
office.)


Representative Name:      
Lead staffer Name:      
Office Number:      
Representative Name:     
Lead Staffer Name:      
Office Number:      





Representative Name:      
Lead staffer Name:      
Office Number:      
Representative Name:     
Lead Staffer Name:      
Office Number:      




Institution Contact Information

Highest level person at the institution: (Who may the Senator contact?)
Name, Title
Email
Phone
Fax
     
     
     
     


Staff Contact at the institution: (Who on your staff is familiar with the project?)
Name, Title
Email
Phone
Fax
     
     
     
     

Government Affairs Representative for the Institution: (Optional)
Name
Email
Phone
Fax
     
     
     
     

Prior Year Funding for this Project

If you have previously received federal funding, please list the amount of money 
THIS PROJECT has received over the past four appropriations cycles.  (If this is a 
request for transportation funding, list any funding received in the 2005 Transportation 
Reauthorization Bill.)  Please also include which Member of Congress (Senator and/or 
Representative) secured this funding.

FY09: $       Bill AG 				FY08: $        Bill AG
Member:      					Member:      

FY07: $       Bill AG 				FY06: $        Bill AG
Member:      					Member:      


********************EXTREMELY IMPORTANT********************

Please attach an abstract of your project (one page maximum) to describe 
your proposed project and explain how the project meets the criteria of the 
bill and the program title that you have selected.



PLEASE NOTE: Some of the Appropriations Subcommittees require an additional form 
be completed.  When you forward your appropriations request form to the office, you 
may receive a form from the Director of Appropriations.  If you do, please complete this 
form and return it as soon as possible.  




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