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Reaching Rural Individual Application - 2025 Cohort

Reaching Rural Individual Application

This application form should be used if you are applying as an individual and not as a team. Click here if you are applying as a team and not as an individual.

In addition to completing your individual application form and the essay questions via this online form, you must sign and submit a letter indicating an understanding of and commitment to participating in all required Reaching Rural activities. If you are not an elected official, judge, or agency/department director, your agency director must also sign the letter of commitment. A template for this letter is included in the solicitation.  You will be able to upload this letter via the last page of this online form.

All required application components must be submitted no later than 5:00pm ET on December 16, 2024. Applicants will receive a notice of submission upon completion of the online application. Questions about your application? Please send an email to info@cossup.org and we will respond to your inquiry promptly.

A PDF version of the questions is available here.
Applicant Information *This question is required.
This question requires a valid email address.
Applicant Employer Information *This question is required.
Type of Applicant *This question is required.
Is the community of focus for this application considered rural as defined by the Rural Health Grants Eligibility Analyzer? *This question is required.
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