Action Grant Application About You First Name (required) Last Name (required) Have you already received an Action Grant this year? (required) Yes No Email (required) Phone Do you live, work, or go to school in the Watershed District? (required) Yes No 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 No 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. There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
