Wild Ones Oak Openings Region Community Grant Application

Wild Ones Oak Openings Region Community Grant Application
Wild Ones Oak Openings Region

wildonesoakopeningsregion@gmail.com
Wild Ones Mission: Wild Ones promotes native landscapes through education, advocacy and collaborative action. Non-profit and governmental groups are welcome to apply for a maximum grant of $500.

Applicants are strongly encouraged to compose and save their responses ahead of time using this form.
Your Organization Information
Organization Name
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Phone
Format: (000) 000-0000.
Organization Email
example@example.com
Website URL:
How did your organization learn about the Wild Ones Oak Openings Community Donation?
Project Coordinator Information
Project Coordinator Name

First NameLast Name
Project Coordinator Professional Title
Project Coordinator Phone
Format: (000) 000-0000.
Project Coordinator Email
example@example.com
Briefly summarize the qualifications of the project/event coordinator
How will the project be sustained?

Project Details (event, garden or other project aligned with the Wild Ones mission)
Name of entity that has ownership and authority of the project/event site (e.g. school district, park district, house of worship, etc.)
Address of Project/Event Location (if different from organization location above).

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Name
Provide a description of your project and include project objective(s). Projects may be, but not limited to, a special event, native rain garden, pollinator or bird habitat. (Limit of 500 words)

0/500
Provide a general timeline of the project and, if applicable, date of event. (Limit of 500 words)

0/500
If your project is a garden, attach a diagram (.pdf or other digital format, limit of 10 MB) of the area you intend to plant as it currently exists, including (1) site dimensions, (2) vegetation which will remain, (3) existing natural and/or human-made structures, (4) scale, (5) planting conditions (light, soil, moisture), and (6) directional points (North, East, South, West).
Garden Diagram File Upload

(Upload PDF or JPG file only)
Cancelof
What preparation is required in anticipation of planting, and how will you accomplish this? For example, what vegetation, if any, will be eliminated prior to planting?
Who will be responsible for maintenance after the garden has been planted? (Limit of 500 words)

0/500
Explain why this project is important to your organization and community. (Limit of 500 words)

0/500
Total Community Donation Amount Requested (not to exceed $500)
Before You Submit
Is there anything else about your project, your organization, those you serve, or your community that you want to share with Wild Ones?

0/0500
Attestation
Page 2 of 3

I certify that I have obtained the necessary approval from my organization to submit this Community Donation application and move forward with our garden project/event if we are awarded funds. I understand that the awarding of Community Donations shall be subject to the sole discretion of Wild Ones Oak Openings Region. If I am awarded a Community Donation, Wild Ones Oak Opening Region shall have the right to supply others with this information and disseminate its underlying concepts and/or ideas. If awarded a Community Donation, I agree to acknowledge this funding source in any project publicity or printed materials and to submit an expense accounting to Wild Ones Oak Opening Region within one year of the date of the award letter. Wild Ones and/or any of its agents, officials, and employees shall assume no responsibility or liability for claims of damage of any kind to property or for claims of injury to any person in connection with the award or distribution of a grant. I understand that I am responsible for securing and retaining parental/guardian approval and release for any photos and/or videos provided to Wild Ones Oak Openings Region for any youth under the age of 18 and that Wild Ones has permission to use submitted project photos and/or videos in any public media about Wild Ones Oak Openings Region.
If Awarded Grant, Applicant agrees to the following:
1. Provide Wild Ones Oak Openings with a point of contact to receive funds within 2 weeks of award notification.
2. Submit a summary at the completion of the grant (1 year after award) that includes, digital photos/videos of participants. Newspaper articles or other media reports about the project are also welcome.
3. By submitting this application, applicant is stating that applicant has obtained and retains on file a Publication Release for items submitted to Wild Ones and a Release from each person depicted in any image or recording submitted to Wild Ones, including parental permission for any person under age 18.
4. Acknowledge Wild Ones funding of your project in publicity and printed materials.
5. Grant funding will be returned to Wild Ones Oak Openings Region if project is terminated.
I understand and agree to the above attestation.
Grant Applicant's Full Name

First NameLast Name
Grant Applicant's Email
example@example.com
Grant Applicant's Signature
Today's Date

MonthDayYear
Date
Page 3 of 3
Should be Empty:

Wild Ones Oak Openings Region Community Grant Application

Your Organization Information

Project Coordinator Information

Project Details (event, garden or other project aligned with the Wild Ones mission)

Before You Submit

Attestation

If Awarded Grant, Applicant agrees to the following: