Keep Mecklenburg Beautiful Engaging individuals to take responsibility for improving their community environment. Mecklenburg County, N.C. Beautification Grant 2016-2017 APPLICATION FORM INSTRUCTIONS Thank you for applying for a Beautification Grant from Keep Mecklenburg Beautiful. Grants are awarded to organizations in Mecklenburg County for efforts that directly and best support the Mission of the organization, which is to empower the citizenry of Mecklenburg County to take greater responsibility for enhancing their environment, thereby resulting in a community of pride and choice for people to live, work and recreate. Please follow the directions below for completing and submitting your application. 1. Complete all sections of the Grant application. Provide a complete description of the project to which the Grant will be applied. Include details on the population that the Grant will support, other partners that are participating in the project, the project timeline and date of completion, the area of the County that the project will take place in, why your organization is interested in this project, and any challenges you expect to encounter. 2. A cash or in-kind match to the requested funds is not necessary for approval. However, Keep Mecklenburg Beautiful appreciates efforts to leverage our funds, wishes to know how their contribution fits into the larger funding picture for your project, and who they are partnering with by funding a project. 3. You are welcome to provide additional attachments to your Application showing designs, site location, the project team, or other material that supports and strengthens your application. Please ensure your organization’s name is on the material in the event printed copies are separated from your application. 4. Approved Grants are typically capped at $1,000. 5. Your completed application should be submitted via email to the KMB Chair (Heather Moeller hlmoeller@charlottediocese.org) or KMB’s Executive Director (Jake Wilson, jake.wilson@mecklenburgcountync.gov). 6. You will be notified if the Board requires additional information. You may also be invited to attend a KMB meeting (usually held the second Monday of each month at the Mecklenburg County LUESA, 2145 Suttle Avenue, Charlotte 28208) to describe your project and make an appeal for funding. Although an appearance is not mandatory, it could potentially help the Board determine a decision. 7. The Board will subsequently hold discussion on your application and make a decision. 8. You will be notified of the decision within one week of that meeting. 9. Applications are accepted throughout the year and funds are granted as available. Keep Mecklenburg Beautiful Engaging individuals to take responsibility for improving their community environment. Mecklenburg County, N.C. Beautification Grant 2016-2017 APPLICATION FORM Project Title: Applicant (Organization) Name: Project Location (City/Town): ____Charlotte ____Mint Hill ____Cornelius ____Matthews ____Davidson ____Pineville ____Huntersville ____Other/Unincorporated: ________________________ Date Submitted: ______________ Date(s) of Project: ______________ Date Funds are Needed: ______________ Address: City: State: Zip Code: Primary Contact Person and Title: Phone: Email: Project Objective(s) and Description: This grant project will meet the following KMB objectives: Litter Prevention _______Waste Reduction Community Clean-up _______Beautification of Landscape ________Recycling/Composting ________Other (__________________________) Keep Mecklenburg Beautiful Engaging individuals to take responsibility for improving their community environment. Mecklenburg County, N.C. Beautification Grant 2016-2017 APPLICATION FORM Project Type (check one that best applies) Grant Funds Requested $ ______ Program Development Cash Match $ ______ Program Improvement In-Kind Match $ ______ Education & Information/Training Total Amount of Project $ ______ Non-Profit Program Development ______ Landscaping, Garden or Tree Planting ______ Demonstration & Site Specific Applicant Description _____ Local government _____ State government _____ Non-profit 501(c)(3) _____ Educational Institution _____ Other (describe)________________________________________________________ Community Population ___________________ Has this community or organization received a KMB grant in the past? Yes____ No____ If yes, what grant year(s)? __________________________________________________________________________ As a duly authorized representative of the community or organization making this application, I hereby certify that, to the best of my knowledge, all information provided herein is true and represents the desires of this community or organization. I further certify that I understand the purpose and rules of the program as outlined in the Application Package. ____________________________________________ Printed Name of Authorized Representative __________________________________________ Title/Position ____________________________________________ Signature of Authorized Representative __________________________ Date For Office Use Only Board Approval: Conditions to Approval: Final Amount Awarded: Additional Information: