David and Joyce Weizenicker Fund Grant Application Question Title * 1. Project Title (Limit 80 Characters) Question Title * 2. Friends Group Name Question Title * 3. Contact Information First & Last Name Title Email Question Title * 4. Check Payable Organization Name Organization Contact Address, City, State, Zip Code Question Title * 5. EIN Number EIN Number Question Title * 6. Project Timeframe Start Date Date End Date Date Question Title * 7. List Names of County/Counties Impacted Question Title * 8. Grant Amount Requested ($) (The total for the grant request may not exceed $5,000) Question Title * 9. Total Match Amount ($) Question Title * 10. Total Project Cost ($) Question Title * 11. Grant Eligibility Yes, I have reviewed the eligibility guidelines, and my project meets all requirements. Question Title * 12. Project Approval Yes, our Friends Group has agreed to apply for this grant. Yes, our Friends Group has received approval from the DNR Property Manager for this project. Question Title * 13. Application Commitment To the best of my knowledge, all information provided in this grant application is true and accurate. I understand that the Wisconsin Department of Natural Resources (DNR) has sole discretion in awarding grants. I understand that the funding will be provided by the Natural Resources Foundation of Wisconsin. I understand that if I am awarded a grant, the DNR and Natural Resources Foundation of Wisconsin shall have the right to provide others with the project description. I understand that if I am awarded a grant, I will be required to submit a Project Report within 1 year of the award date to the DNR to be considered for future funding. Question Title * 14. Describe how your project aligns with the purpose of this grant program (250 words) Question Title * 15. Describe the intended impact of this project, including goals, objectives, and measurable outcomes (250 words) BUDGET BREAKDOWN: In the sections below, enter budget information for the project. Question Title * 16. Budget Line 1 - List the items to be purchased and estimated cost. Question Title * 17. Budget Line 2 - List the match sources and amounts (For the match include cash, volunteer hour value, in-kind donations, third party support.) Done - Thank You!