Legacy Grant Application

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Date	16.08.2017
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Submit to: grants@parkpride.org

	For office use only
	Date received
	Grant #

Park Information
Applicant Project Title:
Park Name
Park Address		City		State
Does your park have a registered Friends of Group? Type YES or NO

Contact Name and Information
Primary Contact
Name		Organization
Address		City		State		Zip
Phone		Email
Secondary Contact (if applicable)
Name		Organization
Address		City		State		Zip
Phone		Email

Financial Information
Use figures from your Project Budget Sheet to fill in the following:
Grant Request (max. $100,000)	$	Matching Funds	$	Total Project Budget	$
Does the organization applying for this grant have 501c3 nonprofit status or a fiscal partner account? In the blank type 501c3 or Fiscal Partners

Community & Government Support
List all community associations whose jurisdictions include or border the park. You will need to have a letter of support from each association. A sample letter can be found at the end of this application. Please attach an additional sheet if you need to list more than two associations.
Association		Contact Name		Title
Phone			Email
Association			Contact Name		Title
Phone			Email
City of Atlanta NPU			City Council Representative

Project Summary

Please briefly describe your project in 1-2 sentences. (i.e. “Replace the aging playground with improved equipment, grading and plantings.”)

Project Background

Please include any project history, outreach history, and work accomplished.

Project Description

Include location detail, construction plans, materials detail or product specifications for amenities, and any other important information pertaining to the project. Please keep your description under 2 pages.

Project Manager
Please see the “Project Management Requirements” document included in the application package.
Name
Describe qualifications below

Fundraising Plan

Provide details on how you plan to secure matching funds.

Maintenance Plan

Describe what maintenance is necessary and who will be responsible for each task.

Timeline

Include fundraising dates, construction dates including projected start & completion dates, milestones, etc.

Why is this project important to the park and what impact will it have?

Site Visits: October 1^st – November 15^th Weekdays between 8am - 6pm
When are you not available to meet?


What are your top 3 ideal times to meet?	1
	2
	3

Checklist
Please use the following list to make sure your application is complete before submitting for review.

Complete/Included	Section/Documents

	All pages of Application form, pages 1-6

	Project Budget

	Before Photos

	Planning Documents

	501c3 Documentation

	Letters of Support from all community associations listed under Community Support on page 1

	Letter of Support from property owner - City of Atlanta

233 Peachtree Street  Suite 1600  Atlanta, GA 30303 404-546-6760  www.parkpride.org

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