Mini-Grant Program Application

PART I: APPLICANT INFORMATION

Organization (legal name)(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

County(Required)

Type of entity(Required)

501(c) 3 Non-Profit Organization

Public Entity

To be eligible for this mini- grant, the applicant must be a public entity (such as a county, municipality, or municipal agency) or a registered 501(c)3 nonprofit organization. If awarded, you will be asked to provide certification of the organization’s charitable status.

If you are a 501(c)3, are you currently registered in good standing with the IRS?(Required)

Yes

Is your organization registered with the PA Department of State; Bureau of Charital Organizations?(Required)

Yes

Briefly describe your organization/entity and its mission.

Grant Contact

Contact Name(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Grant Signatory

Person authorized to legally obligate the grantee.

Grantee Signatory Name

First Last

Job Title

Organization (if different from above)

PART II: PROJECT DETAILS

Project Title(Required)

Project Location(Required)

Describe, or provide, the location of this project and include where it is located along the Susquehanna Greenway corridor

Is your project located within the Susquehanna Greenway?(Required)

Yes

Expected Start Date(Required)

Expected Completion Date(Required)

Project Type(Required)

Education and Outreach

Wayfinding and Signage

Trail Improvement

Special Purpose Trail Study

PART III: PROJECT NARRATIVE QUESTIONS

Project Summary: Please briefly describe your proposal and how it will further your mission or enhance the surrounding community [word limit: 350](Required)

Project Scope: Summarize the project/program, its goals/objectives, project readiness, anticipated timeline for completion, and deliverables for your project or program. Describe what items (equipment, materials, volunteers, etc.) will be needed for this project and the steps your organization will take to complete it. [word limit: 1500](Required)

Project Alignment to the Susquehanna Greenway Vision: How does your project or program align with the vision of the Susquehanna Greenway, which is ‘to grow the Susquehanna Greenway by building connections along the Susquehanna River, inspiring people to engage with the outdoors, and transforming communities into places where people want to live, work, and explore.’ [word limit: 500](Required)

Partnership and Collaboration: Explain how this project demonstrates collaboration with other organizations and/or ways in which entities would benefit from this completed project or program. List the partners, or coordinating communities, and explain their involvement and how it enhances the viability of this project. Letters of Support may be included as attachments to the application. [word limit: 500](Required)

Green and Sustainable Practices: Describe how your project will help to reduce the severity of current and future climate impacts through green and sustainable practices. [word limit:500](Required)

Examples can be found here: https://www.dcnr.pa.gov/Communities/GreenCommunityParks/Pages/default.aspx

Project Objectives: (Education & Outreach applicants ONLY; omit for other project types) What will the project or program achieve? Consider your measurable outcomes or any gaps that this project or program will fill. Please do not exceed 3 objectives.

Sustainability and Maintenance: (Wayfinding & Signage, Trail Improvement, and Special Purpose Trail Study ONLY; omit for Education & Outreach) Please describe how the results of the project or program will be sustained or maintained long-term. [word limit: 500]

Is your project on public land?(Required)

Yes

Please explain your selection above:

If awarded, you will be required to submit a landowner agreement in writing as part of contracting if the property is on private land.

Project Map: Please include a map showing the proposed project area. Please provide a legible map with areas clearly marked. Omit for Education & Outreach

Drop files here or

Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB.

Photos: (Implementation projects only) Include at least 3 "before" photos of the project site taken from a location that can be repeated for "after" photos.

Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 50 MB.

Part IV BUDGET SUMMARY:

Please provide a summary of your total funding request and match below. A detailed budget utilizing the provided template should be completed and uploaded with your application. The Budget Template can be found at: https://susquehannagreenway.org/wp-content/uploads/2023/10/2023-SGP-Mini-Grant-Budget-Template.xlsx

Grant Amount Requested(Required)

Cash Match(Required)

Non-Cash (In-Kind) Match(Required)

Projected Total Project Cost(Required)

Please indicate whether your match is fully secured, partially secured, or pending.(Required)

Fully Secured

Partially Secured

Pending

Please provide more details associated with your selection. Be sure to represent your match on the detailed budget template.(Required)

If your organization were only awarded a portion of the funds requested, would you be able to proceed with the project with an adjusted scope of work and budget?(Required)

Yes

Elaborate as necessary

Upload your completed budget here.(Required)

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, xlsx, csv, xls, Max. file size: 50 MB.

2023 SGP Mini Grant Application

PART I: APPLICANT INFORMATION

Grant Contact

Grant Signatory

PART II: PROJECT DETAILS

PART III: PROJECT NARRATIVE QUESTIONS

Part IV BUDGET SUMMARY: