Keizer, Oregon
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Parks Improvement Matching Grant Program Application
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Name of Organization or Individual
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Address & Phone
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Email
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Project Director
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Address & Phone
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Project Director Email
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Proposed Park Site
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Is the project identified in the current Parks Master Plan?
Yes
No
(Example: vegetative buffer along River Road at Meadows Park)
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Estimated project start date:
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Estimated project completion date:
BUDGET (Donations)
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Parks Board Matching Grant - Total Project Value
($ Amount Requesting)
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Parks Board Matching Grant Donation
($ Amount Requesting)
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Private Cash/Material Donations
(i.e. donated cash/materials converted to dollar amount)
*
Corporate Sponsorship
$ Amount committed by Corporate sponsor (i.e. Scouts)
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Labor (estimated value)
Estimated hours converted to $ amount (use $25/per hour)
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Will a recognition sign be required?
Yes
No
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Type of Project (check all that apply)
New park Feature(s)
Replacement of Existing Park Feature
Park Rehabilitation
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Project Description:
Describe the project for which the matching grant funds are requested including a description of labor and materials needed for completion of the project, a cost estimate for project completion if available, impact on the community, involvement of the organization itself and its volunteers. Additional may be added via the upload button below. Successful applicants will be expected to follow all applicable city/state requirements/laws. Grant recipients will ber required to reapply for funds if the project is not completed by the agreed deadline.
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Signature (electronic signature accepted)
Additional information
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Submit
Submit Bid
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