National Fish Habitat Partnership Bass Pro Shops U.S. Open Grant Opportunity

Name of your organization

Phone Number of Organization

Please enter a valid phone number.Format: (000) 000-0000.

Applicant Email Address

example@example.com

Applicant Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Contact Person

First NameLast Name

Phone Number of Primary Contact Person

Please enter a valid phone number.Format: (000) 000-0000.

Project Name

Name of body of water

What state is the project is located in?

Is this project supported by a Fish Habitat Partnership?

If yes, which Fish Habitat Partnership supports your project?

Please list all project partners:

Please mark the project location on the map (move the red reference point to the exact location) (Please allow location Identification through the form and then move the red reference point)

Please upload up to (8) photos of the project/project site:

Do you have the required State/Federal permits for implementation of this project?

The Below Sections are designed to explain project specifics for review:

Conservation Benefits

Does this project benefit the habitat for Reservoirs, Natural Lakes, or Tributaries that connect Reservoirs or Lakes? If yes, explain the technical merits of this project

Does this project benefit a sportfish species? if so which species?

Bass Pro Shops is a big proponent of providing anglers increased opportunities to catch fish. How will this project specifically benefit anglers, providing increased access, enjoyment and recreational opportunities?

Explain or elaborate quantifiable habitat measures/benefits (i.e. reservoir/lake acreage directly affected by the project, miles or feet of reservoir or lake shoreline rehabilitated, stream miles affected or rehabilitated, amount of structural habitat added, vegetation planted) that will be provided through this project? Please provide specifics on the amount of habitat to be conserved.

Will there be a monitoring aspect of your project once completed? If so, what aspect(s) of the project will be monitored? Please explain.

Community and Partner Involvement

Will this project foster/generate a community conservation ethic through citizen/youth involvement? If so, please explain.

Will the project have local community involvement?

How would this grant catalyze or sparks other partners and future or ongoing conservation efforts at the project site?

A desire of projects awarded under this grant, is to have an outreach component. How will you promote this project through your organization?

Bass Pro Shops is a key conservation partner and benefactor in this project opportunity. How do you envision Bass Pro Shops would view your project? How would this project help Bass Pro Shops elevate what they do for conservation?

Funding Request and Budget

How much funding are you requesting through this grant opportunity?

There is no match requirement for this grant opportunity. However please note all other contributions for this project.

Please upload a budget for your project

Will your project be completed by 12/1/23?

I confirm that all information I entered in this form is accurate and true.

I understand that the information in this form is not for public use and remains confidential depending on the agreement.

I certify that all purchases, invoices, certifications, financial statement, and other legal documents are thoroughly checked and make sure it is accurate.

I understand that the application will be reviewed and thoroughly evaluated based on the criteria of the grantor.

I release this company (grantor) and its employees from any liabilities, claims, and demands that may arise during this application.

By signing this form, you agree to the terms and conditions indicated on this form.

Signature

Date Signed

Date

National Fish Habitat Partnership

Acknowledgment