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James L. Richardson Driver Matching Grant Program
Date Sensitive
Applications Must Be Received by October 24, 2025
Member Name:
*
Street or P.O. Box Address:
City:
*
Zip Code:
Contact Person:
*
Contact Person's Title:
*
Contact Person's Phone Number:
*
Contact Person's Email:
*
Number of full time employees in city / agency:
*
Number of employees affected by this purchase:
*
The city / agency desires to purchase the following:
*
Justification for the needed purchase MUST BE provided, indicating the departments or function areas that will be affected. One grant application, per member, per year. Do NOT send multiple applications for several departments.
*
Total of Estimate #1:
*
Total of Estimate #2:
*
Name of Supervisor Giving Approval:
*
I'm ready to submit my grant application. If you do not receive a confirmation email within 15 minutes, please contact Tahtia Mitchell at TMitchell@PEPartners.org.