Lehigh Valley Greenways Conservation Landscape

2016 Mini-GrantApplication

Part I. Applicant Information:

Name: ______Title: ______

Organization: ______

Address: ______

Phone: ______E-mail: ______

(Non-profits only) Registered as 501c3? YES NO

(Non-profits only) Registered with PA Bureau of Charitable Organizations? YES NO

Part II. Project Details:

Project Title:______

Expected start date (after 4/30/16): ______Expected completion date: ______

Project Description – please provide the project goals and location, detailed scope and final deliverables

(maximum 500 words)

Budget Item or Task / Cash Match / In-Kind Match / Total
GRANT MATCH/ INCOME
Type Organizations Name Here
Example: Trail Guide Post Installation
Example: 3 people x 7.5 hrs each x $30 / hr / $ / $675 / $
Item / Task
cost (XX hrs x $XX / hr) / $ / $ / $
Item / Task
cost (XX hrs x $XX / hr) / $ / $ / $
TOTAL MATCH: / $
Type Organizations Name Here
Item / Task
cost (XX hrs x $XX / hr) / $ / $ / $
Item / Task
cost (XX hrs x $XX / hr) / $ / $ / $
TOTAL MATCH: / $
Type Organizations Name Here
Item / Task
cost (XX hrs x $XX / hr) / $ / $ / $
Item / Task
cost (XX hrs x $XX / hr) / $ / $ / $
TOTAL MATCH: / $
GRANT EXPENSES (USE OF GRANT FUNDS)
Lehigh Valley Greenways Mini Grant Program
Example: Trail Guide Signs
Example: 10 signs x $45 each / $450
Item / Task
cost (XX hrs x $XX / hr) / $
Item / Task
cost (XX hrs x $XX / hr) / $
TOTAL GRANT REQUEST: / $
$ / TOTAL CASH MATCH
$ / IN-KIND MATCH
$ / TOTAL CASH (MATCH + GRANT REQUEST)
$X,XXX / Total Project Cost

**Total grant request cannot exceed 50% of total project cost and should be between $1,000 and $10,000**

Explain how the project aligns with 2016 Mini-Grant Priorities, Lehigh Valley Greenways Vision and Goals (maximum 300 words)

Which local, county and/or regional plans is the project consistent with, such as open space, greenway, watershed, outdoor recreation, and river conservation plans? List plan title, author, and year released.

(maximum 150 words)

Collaboration: Please list partners that are committing match (cash and/or in-kind), partners supporting the project without match, and explain collaboration opportunities.

(maximum 150 words)

Explain any opportunities for using Best Management Practices in your project (native plantings, stormwater management, erosion control, etc).

(maximum 300 words)

Important Note for LVG grants: All projects and project related costs must conform to the guidelines outlined in the PA DCNR Community Conservation Partnership Program at:

**REMEMBER to attach Letters of Support and Letters of Commitment for local match, and drawings, plans, specifications, maps, cost estimates, or photos, if applicable.

1