2. Group Name*
4. Identify Area in the Zone of the Association*
6. Primary Group Contact*
7. Email Address*
9. Phone Number*
10. Fax Number
12. Estimated Project Cost*
13. Expected Project Completion Date*
    Expected Project Completion Date
15. Total grant amount applied for*
17. Please provide a full project narrative describing the project in detail. Describe the public benefit, what you intend to accomplish with this project, and how the project improves the condition of the neighborhood, enhances neighborhood pride and/or promotes self-reliance along with increasing communication among neighbors. Specific needs, material costs, neighborhood help, and professional labor, if needed, as well as a fully detailed breakdown of the costs associated with the project, photos and maps of project location can be attached below. A project location map; sketches and/or photos; a full cost breakdown; and estimates/quotes for materials, professional labor, etc., if applicable must be included with your application.
19. Full project description*
21. Additional Documents
    Project location map; sketches and/or photos; cost breakdown; and estimates/quotes for materials, professional labor, etc., if applicable.
23. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

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