Sentencing to Service Project Proposal
Minnesota Department of Corrections

Roseau County Contact Information:
Marc Bloomquist
619 Beltrami Avenue Northwest, Suite 300
Bemidji, MN 56601
Phone: 218-308-2565
Fax: 218-308-2583

Referral Agency

Referral Source          Submission Date: 11/26/2015

Department/Agency Name  
City    State   Zip Code  

Project Data

Project Title  


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  

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.


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