Community Grant Application 2018
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NORTHWEST LOUISIANA MASTER GARDENER ASSOCIATION, INC.
(NWLAMG) COMMUNITY DONATION AND GRANT APPLICATION Application Deadline Email electronic application to nwlamggrants@gmail.com on or before September 30, 2018. Answer all applicable questions included on this application. If all applicable questions are not answered, the application will be deemed incomplete. Maintain the format provided when answering the numbered questions. Organization Information Organization Name: __________________________________________________________ Contact Person: ______________________________________________________________ Mailing Address: ____________________________________________________________ City/Town: ________________________ Zip Code: _________ Parish: ______________ Telephone Number(s): ________________________________________________________ Email Address: ________________________________ Fax (optional): ________________ Amount Of Money Requested: $__________________ NOTE: For accounting purposes, please clarify to whom the check should be written and provide that information below. Name of organization or entity to be placed on the check: Application Check List: Please make sure you have included the following items before emailing your completed application: _____ Completed application form in Word or PDF format _____ Project budget _____ Photographs and graphics (if available) of the site/project _____ 501(c)(3) documentation if a non-profit organization – FOR INFORMATION AND FOR ASSISTANCE IN COMPLETING THIS APPLICATION, CONTACT THE NWLAMG COMMUNITY INVESTMENT COMMITTEE VIA PHONE (318-564-1180 or 318-465-0000) OR EMAIL (nwlamggrants@gmail.com) OR VISIT OUR WEBSITE AT www.nwlamg.weebly.com – – NEED HELP? Contact Judy Roemer at 318-465-0000 or roemerj@bellsouth.net! – COMMUNITY DONATION AND GRANT APPLICATION Please answer the following questions. Maintain the format provided below and number your responses accordingly. General Information
Project Description
Information Regarding The Organization/Entity Utilizing The Requested Donation Or Grant
Sustainability
Master Gardener Involvement
– Need help? Contact Judy Roemer at 318-465-0000 or roemerj@bellsouth.net! – DONATION AND GRANT APPLICATION AGREEMENT BETWEEN NORTHWEST LOUISIANA MASTER GARDENER ASSOCIATION, INC. AND __________________________________________________ An applicant who is selected as a recipient of a Donation or Grant will receive funds to be used to implement the proposed project. Recipients must agree to the following:
Representatives from our organization have read the requirements above; and, if selected as a recipient of a NWLAMG Community Donation or Grant, we agree to follow the requirements. ____________________________________ ____________________________________ Signature of Contact Person for Application Signature of Supervisor or Financial Manager _______________________________________ ______________________________________ Print Name of Contact Person Print Name of Supervisor or Financial Manager Email to nwlamggrants@gmail.com on or before October 31, 2017. |