Kudzu Matching Grant Application

KUDZU MATCHING GRANT APPLICATION
Our Purpose: We offer Matching Grants for Kudzu eradication projects that enhance the appearance of public spaces in Polk County. Please Note: All requirements for grant application are listed at the end of this form.
Contact Information
Date of Application*
Name of Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Organization's Tax Identification Number*
What is your nonprofit status?*
Summarize your organization's mission below*
Organization President /CEO/Exec. Director/President/Board Chair*

First NameLast Name
Title*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
E-Mail Address*
example@example.com
Your Organization’s Designated Representative for Grants (if different from above):
Designated Grant Representative

First NameLast Name
Title/Role in Organization
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-Mail Address
example@example.com
Your Project
Brief Project Description*
Grant Request Amount $*
Total Project Budget $*
Note that Total Budget must be double the amount of the Grant Request as this is a Matching Grant.
When completing this application, please consider the following:

Note that Total Project Budget must be double the amount of the Grant Request Amount as this is a Matching Grant.

Grant Guidelines: The Appearance Commission will seek to award kudzu eradication grants in diverse locations throughout the geographic area of Polk County.
Kudzu eradication is a problem that needs continual surveillance for years. We would like to see how you plan to monitor and control kudzu in the future.

REQUIRED ATTACHMENTS: To be emailed to polk.nc.kudzu@gmail.com

1. Please Provide a detailed project budget that includes itemized quotes for equipment or products to be purchased, and, if any, in-kind work expected

( # volunteers X # hours @$25 per hour)

2. Include “before” pictures. Pictures after the completion of the project will be due with the final report.

3. Project Assessment must be completed by qualified individual, County Extension Agent, or company willing to do kudzu removal.

A list of companies is provided on our website:
https://www.beautifulfoothills.org/kudzu-matching-grants

OPTIONAL ATTACHMENTS:
Your application may be stronger if you include one or two hand signed letters of support from individuals familiar
with or who will benefit from this proposed project.

After completion of the application and supporting documents:

1. Attach them to your e-mail and email it to: polk.nc.kudzu@gmail.com
3. OR, mail the supporting documents to:

Polk County Appearance Commission, P. O. Box 308, Columbus, NC 28722
ATTN: Kudzu Grants Committee

If you mail the application, send an email to our email notifying us that the application was mailed.
Signature*
Should be Empty:

KUDZU MATCHING GRANT APPLICATION

Contact Information

Your Organization’s Designated Representative for Grants (if different from above):

Your Project