Action Grant ApplicationAbout YouFirst Name (required)Last Name (required)Have you already received an Action Grant this year? (required)YesNoEmail (required)PhoneDo you live, work, or go to school in the Watershed District? (required)YesNoYour AddressStreet Address (required)City (required)State/Region/Province (required)Postal/Zip Code (required)Country (required)Are you a parent/teacher/mentor, applying on behalf of a student minor? (required)If "yes", please list the student's name, grade, and schoolAbout Your TeamHow many people are on your project team? (required)Who are they? Please list names and their association to you (friend, spouse, etc). If you are doing the project with an existing group (ex. scout troop, work green team) you can just list the name of the group rather than each member. (required)About Your ProjectWill the project take place within the watershed district? (required)YesNoLocation(s) the project will take place, if different from your address above.Describe your action grant project. (required)How does your project care for clean water or increase stewardship/awareness? (required)Total amount requested for project. (Max $250) (required)How will the funds be used? (required)Your Signature (required)Confirm e-SignatureReview Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signaturesI understand that if my project is approved for funding, I must submit a short summary report of the completed project with photos and my receipts in order to receive funding reimbursement.There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
