Application Deadline: June 2nd, 2015 Return Application to Erin

Application Deadline: June 2nd, 2015
Return Application to Erin Stotz at [email protected]
Questions? Please contact [email protected]
Organization Name: __________________________________________________________________________
Mailing Address: ______________________________________________ City: ______________________________
State/Province: ____________________ Zip Code/Postal Code: ____________
Country: ______________________________________ Organization:
For Profit
Not-For-Profit
Contact Name: _____________________________________ Phone: __________________________________
E-mail: ____________________________________________ Fax: ____________________________________
Name of the Project? __________________________________________________________
Geographic Location? _________________________________________________
Species focus (if applicable)? ________________________________
1) Please explain the goal of your project (300 words or fewer).
2) Does your project contain an educational component? If yes, please explain (300 words or fewer).
3) Please explain the level of community engagement, both in terms of involvement and benefit (300 words or fewer).
4) Please tell us how this grant will be used in support of your project (300 words or fewer).
5) Please list other grants or financial support you have received for this project.