Sentencing to Service Project Proposal
Minnesota Department of Corrections

Meeker County Contact Information:
Roman George
300 East St. Germain Street, -
St. Cloud, MN 56304
Phone: 320-202-0966
Fax: 320-255-2672
Email: roman.george@state.mn.us


Referral Agency

Referral Source          Submission Date: 10/2/2014

Department/Agency Name  
Address  
City    State   Zip Code  

Project Data


Project Title  

Description  


Location Information


County      Township  
Section      Range  

Project Size (Acres, Feet, etc)  

Crew Size Suggested  

Estimated Completion Time (total hours)  

Duration (check one)   Periodic/Seasonal        Continuous

Priority (check one)   Low     High

Estimate of Project Value (value to agency if done by contractor or agency)

Special Requirements


Time frame for completion (seasonal)  

Special skills or training required or provided for crewmembers  

Special tools for equipment required or provided for crewmembers  

Are there any special details such as data privacy, right to know issues, health/safety hazards (i.e.,chemicals), etc., which may require special planning, training, equipment, and/or consideration?  yes   no

If yes, please explain


Contact Information


Project contact person        Phone  

Address  
City    State   Zip Code  

Before beginning project, who should the crew leader contact?
Name       Phone  

Any projects undertaken by STS are done so with consideration to union contracts.  
Has the union been notified?  If regular or seasonal employees would normally do this project, an explanation is necessary to gain union support.

Explanation

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