Action Grant Application

About You

First Name (required)

Last Name (required)

Have you already received an Action Grant this year? (required)

Yes

Email (required)

Phone

Do you live, work, or go to school in the Watershed District? (required)

Yes

Your Address

Street 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 school

About Your Team

How 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 Project

Will the project take place within the watershed district? (required)

Yes

Location(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-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

I 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.

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