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2. Project Name
4. Community Group or School Name
6. Contact Person
7. Title
9. Phone
10. Email
12. Address
14. City
15. State
16. Zip
18. Project Category

    1. Water Conservation
    2. Water Quality Improvements

    1. Flood Protection
    2. Natural Systems Protection
20. Indicate the County to Benefit from the Grant

    1. Alachua
    2. Bradford
    3. Columbia
    4. Dixie

    1. Gilchrist
    2. Hamilton
    3. Jefferson

    1. Lafayette
    2. Levy
    3. Madison

    1. Suwannee
    2. Taylor
    3. Union
22. How many people will directly benefit from the grant? Explain.
24. Have you or your school/community group received a grant from the District before?
25. If yes, please indicate the project and year.
27. Project Description
29. Project Goals, Objectives and Benefits
31. Project Activities and Timeline
33. Budget - Provide a list of items, including quantity, description, unit price, and total cost, to be purchased with the grant.
35. Important Information
    Each school and community group within the District is eligible to receive funding once per year. The District will reimburse only for authorized purchases made after the grant is awarded. The District cannot remit payment until the required invoicing documentation is submitted by the individual grantee and applicant. A final report and documentation are due after completion of the project but no later than one year from the date of contract. Final documentation to be submitted upon completion of the project: - Description of the activities - Dates and locations of any field studies - Photographs of participants in project activities* - Presentation to the Governing Board Note: A photo release is required for each participant pictured. The photo release will authorize the District’s use of the photo for any purpose including website, social media, and marketing materials.
37. Name of Person Completing Form
39. First Name
40. Last Name
42. Title
43. Date
45. Upload a File
47. Electronic Signature*

    1. Sign

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49. 1. Receive an email copy of this form.
50. Email address

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51. Submit

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