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Serenoa Chapter Planting Native Plants Grant Application
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* Indicates required question
Email
*
Your email
Title of Grant Proposal
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Your answer
1. Organization Information
Name of Organization
*
Your answer
City
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Your answer
Address
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Your answer
Zip
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Your answer
Website
Your answer
Organization Type
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Homeowner Association
Condo Association
Neighborhood Association
Civic Association
Non-Profit
School
Government Entity
Other:
2. Leadership Information
Project Leader (contact for proposal)
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Your answer
Home Phone
Your answer
Work Phone
Your answer
Fax
Your answer
Email
*
Your answer
Qualifications
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List qualifications of people working on the project. For schools, how long have the key personnel been at this school?
Your answer
3. Amount of Support Requested
List dollar amount requested here (maximum $500)
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Your answer
Is the total cost required for a successful project greater than amount requested?
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Yes
No
If yes, explain where and when the funds will be sought, and how the funds will be spent.
Your answer
4. Project Information
Project Description
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Briefly describe this project and how it will preserve or enhance the character and value of the neighborhood, or educate students if on school grounds. Please state size of the garden area.
Your answer
Project Location
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Project location within your site
Your answer
Project Maintenance
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Please describe the parties responsible for the maintenance of this project. Please include maintenance schedule for watering, weeding, etc.
Your answer
Plant List
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List species to be planted and quantities (please press ENTER twice between entries)
Your answer
Project Start Date
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MM
/
DD
/
YYYY
Project Completion Date
MM
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DD
/
YYYY
5. Statement of Public Benefit
Describe the audience and how the project will add value to the surrounding neighborhood. Is the project accessible to the general public? OR How many students will be impacted by the project?
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Your answer
6. Proposed Budget
Materials/Supplies and Costs
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Please list the materials and supplies you plan to spend the grant money on, along with the costs of each (please press ENTER twice between entries).
Your answer
Labor Costs/Professional Services
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List the type of service or labor, number of hours required, rate charged per hour, and the total costs for each (please press ENTER twice between entries).
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A copy of your responses will be emailed to the address you provided.
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