WGM Application — South Bend-Elkhart Audubon Society

WGM Grant Application

Title of Project

Project Contact Person

Contact Title

Name of Organization, School, or Agency

Address of Organization, School, or Agency

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Phone Number

(###)

###

####

Contact Email Address

Application is related to

Schools/Scouts

Government Agency

Non-Profit

Other

This Grant is for:

Habitat Enhancement

Land Preservation

Environmental Education

Other

Amount of Grant Request

Description of Project

Please give a brief summary and location of the project.

Goals and Objectives

Please list at least two goals and the objectives needed to obtain these goals.

Evaluation of Project's Success

How will you evaluate the success of this project?

Timeline

Please give approximate starting and completion dates for this project.

Budget

Please describe the budget for the project, including SBE Audubon Grant amounts, In-Kind Matching, or Cash Matching. Please give detail at a line item level describing how each item will be paid. Finally, please provide a summation for the entire project budget.