Form for Sponsoring Organizations

Name & Address of Sponsoring Organization:

Name of Field Resource Advisor:

Name of RDLN participant (if known):

Nature of Project (if known):

Starting Date:

Resources available for RDLN participants:

Office facilities:

Local travel:



Support Organizations nearby:

Nearby educational institution:


Amount of Financial Contribution to RDLN:

Schedule of Payments:

A. One lump sum by

B. Scheduled payments in equal amounts as follows:

Can benefits be provided? _____ Yes _____ No

Chief Executive Officer


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