Senator Mikulski - Appropriations Request Form

Senator Barbara A. Mikulski

Welcome to my new system for submitting appropriations requests. Please provide as much information as possible to assist me. After submitting the requested information, you will then have a chance to transmit any additional documentation in Word or PDF format.

At the end of this online process, you will receive an email confirming your submission. If you don't receive a confirmation email within an hour, please call my office at (202)224-4654 to ensure it was received.

Feel free to follow-up with my staff if you have any questions. Thank you for your submission!

Instructions

Please fill out these forms as completely and accurately as possible.

If you are making multiple requests, please submit a separate request for each project. Multiple requests from the same entity must be ranked in priority order across all appropriations bills.

When asked which appropriations bill the request would best fall under, choose the single best option. We will make the determination if a project can be funded under a different bill, agnecy, or account.

For your reference, here are the primary criteria I use to consider requests:

Demonstrated need - does it create jobs?
Requested by group with proven record
State, local or private matching funds
No multi year projects (except transportation)
Not the first funding source
Is there a federal or state grant program that could fund your requests?

Requests cannot be considered if they haven't been received by the following deadlines:

Friday, March 2, 2007 for ALL bills except for Commerce, Justice, and Science, and Foreign Operations
Friday, March 30, 2007 for Foreign Operations
Friday, April 13, 2007 for Commerce, Justice, and Science

If you have any other questions, please contact my staff at (202)224-4654.

1. Contact info

Start by identifying yourself and the project for which you're requesting funding.

PROJECT NAME:
REQUESTING ENTITY:

Priority among your requests:	out of total requests
Mailing address:
City:	State:

Grantee Contact (your information)

First name:
Last name:
Title:
Phone:
Email:
Fax:

Grantee Executive (President, CEO, or Executive Director)

First name:
Last name:
Title:
Phone:
Email:
Fax:

Consultant/Lobbyist (if any)

First name:
Last name:
Affiliation:
Office phone:
Outside phone:
Email:
Fax:

2. Project information

Please provide some basic information about the project.

Requesting entity:
Project name:
Short description: should not exceed 150 words
Why this is important: should not exceed 150 words
Congressional district:
Other Members of Congress to whom you've made this request:
County/counties: hold down the Control button while clicking counties to choose more than one
Publicity plan:

3. Agency information

Next, please provide some information about the department or agency that oversee the program.

Appropriations bill: choose one only
Department / federal agency: ie., Department of Energy
DoD service or agency:
Account:
Budget line number:
Line title:
Program element number:

3(b). Additional DoD-Related Information

Please provide us with some Defense Department-specific information.

On a Service Chief's UPL or URL?	No Yes
Ranking on UPL/URL:	$
Amount in UPL/URL:	$
DoD or Service requirement: Cite official requirements documents.

Name of DoD or Service program manager:
Program manager's office:
Program manager's phone:

Other DoD advocate:
Other DoD advocate's office:
Other DoD advocate's phone:

Member of a Military Base Alliance?	No Yes
Which Alliance?
Name and phone number for union or employee association at project site:
Number employed at project site:
Number employed in MD by requesor:

4. Funding info

Next, please provide some information about your project's finances.

Funded in the President's Budget?	No Yes
Amount in the President's Budget:	$
Earmark amount requested: (over the President's budget)	$

Requested funding in the past?	No Yes
Funding/appropriations history:
Industrial, academic, or government partners:
Total nonfederal matching funds:	$
Source of nonfederal matching funds:
Applied for federal/state grants?	No Yes

Activities to be funded:
How long will project need funding?
Total cost of project:	$

Allegany
Anne Arundel
Baltimore City
Baltimore
Calvert
Caroline
Carroll
Cecil
Charles
Dorchester
Frederick
Garrett
Harford
Howard
Kent
Montgomery
Prince George's
Queen Anne's
Somerset
St. Mary's
Talbot
Washington
Wicomico
Worcester