GREAT BASIN HERITAGE AREA PARTNERSHIP P.O. Box 78; Baker, Nevada 89311; www.greatbasinheritage.org (775) 234-7171; grants@greatbasinheritage.org Small Grant Application Please read through the Grant Guidelines before starting on your application. There are two grant cycles per year for Small Grants; applications are due May 1, 2014 for the spring cycle and October 1, 2014 for the fall cycle. Requests will be considered from $1,500 - $7,500. A minimum 1:1 match (including in-kind and volunteer services) is required. Great Basin Heritage Area Partnership staff is available to provide guidance on the application process. Contact us at grants@greatbasinheritage.org or (775) 234-7171. Project Title Project Budget Performance Period Contact Name Organization Phone Number Email Address Mailing Address Organization Website Click here to enter text. Grant Request Click here to enter text. Start Date Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Project Total End Date Please provide a brief description of the project. Click here to enter text. What other organizations, groups or individuals (if any) are involved in this project? Click here to enter text. Click here to enter text. Click here to enter text. What is the overall purpose and specific objectives of the project? Click here to enter text. How will project success be measured? Click here to enter text. Projects funded by the Great Basin Heritage Area Partnership must meet one or more the goals identified in the Management Plan. Projects that address two or more goals are highly encouraged. Please read the Grant Guidelines for details on each of these goals and select which goals the project addresses. ☐Heritage Resource Conservation & Enhancement ☐Interpretation & Education ☐Heritage Tourism & Recreation ☐Community Revitalization ☐Partnership Development How does the project address these goals? Click here to enter text. 2 Great Basin Heritage Area Partnership – 2014 Small Grants Application The most successful projects will meet the following Principles of Implementation. Please describe how the project meets these criteria. Supplementary documentation may be included in the application materials. ☐Encourage collaboration and leverage resources of multiple parties to achieve goals. ☐Address sites or resources that are regionally or nationally significant. ☐Respect the carrying capacity and authenticity of heritage resources. ☐Exhibit a high degree of quality including high standards for planning and design. ☐Show strong potential for sustainability and the capacity to manage after completion. ☐Establish realistic and clearly defined outcomes [see “SMART Goals” in the Grant Guidelines]. ☐Can be completed in a timely manner. ☐Include evaluation criteria to measure success of stated goals. Click here to enter text. Are there other options for funding this project? ☐ YES ☐ NO What will happen if this funding request is not approved? Click here to enter text. Has the applicant (individual or organization) received a grant from the Great Basin Heritage Area Partnership before: ☐ YES or ☐ NO? If so, what is the status of the project? Did the project succeed in meeting its goals? Click here to enter text. 3 Great Basin Heritage Area Partnership – 2014 Small Grants Application Project Budget Please provide a detailed budget in the space below. You may provide your budget as a separate attachment if you prefer, as long as it includes all pertinent costs and shows the required match. Please refer to the Grant Guidelines for allowable costs and match requirements. Item Example: Brochure Printing Amount Great Basin Heritage Area Partnership Funds $50/box x 5 boxes Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. GBHAP Grant Funds Subtotal Matching Funds and In-Kind Supplies and Services Example: Brochure Design and Layout $20/hour x 15 hours Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Matching Contributions Subtotal Project Total Total $250 Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. $300 Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Please submit your completed application and any supplementary materials to grants@greatbasinheritage.org. Hard copies can be mailed to Great Basin Heritage Area Partnership; P.O. Box 78; Baker, NV 89311. 4 Great Basin Heritage Area Partnership – 2014 Small Grants Application