Micro-Grant Request Form

Please submit your micro-grant request by using this on-line form. Requests for micro-grant support are considered as they are received. You will be notified (by email) as promptly as staff schedules allow. We strive to respond within two weeks from when the request is received but this is not always possible. Please note: If you submit a request and you don't receive a response within two weeks, please contact Maran Hilgendorf at 239/338-2556 ext 240. Due to spam and virus software and program updates, messages sent by email are not always received. It is the applicant's responsibility to ensure that the request is received.

READ THIS: Unfortunately more problems are now occurring with this online form. Please (1) do complete the form, hit "submit," but then (2) make a copy of the request for your files and (3) send a copy to Maran either by fax (239/338-2560 Attn: Maran) or by email (mhilgendorf@swfrpc.org). All requests received have been processed so if you haven't received a response back from CHNEP then please do forward your request by fax or email. I'm sorry for this inconvenience but no one has been able to figure out why some requests come through and others are never received.

Applications are reviewed as they are received.

Be sure you allow for plenty of time prior to the event/project to request this support as one of the conditions is that Charlotte Harbor National Estuary Program (CHNEP) is acknowledged as part of the project.
If you wish to have more than one micro-grant request considered for the same project but different aspects of the project or wish to hold similar programs for different audiences (such as a wading trip for each fourth grade class), then please submit only one form that describes all of the requests you wish to have considered. (8/06)
CHNEP operates on a fiscal year that begins October 1. In the form below (question 20) be sure to indicate if the project and paperwork can be completed and submitted by September 1 or after October 1. Contact CHNEP if you'd like to complete a project during the month of September. (7/07)

When you type in the application, please use the TAB or ARROW KEYS to move from one line to another. Only hit ENTER when the form is completely filled out!

WHO: Please provide information on who is applying for this micro-grant.

1. Name

2. Title

3. Organization

4. Street Address

5. Address (cont.)

6. City

7. State/Province

8. Zip/Postal Code

9. Work Phone

10. FAX

11. E-mail

12. website Address

13. Please indicate by checking the box if you are submitting this request on behalf of yourself as an individual or on behalf of the organization listed above. (The reimbursement check will be made payable to the person or organization you list here.)

14. Please provide a brief title for your project.

15. BUDGET DETAILS: (a) What do you estimate the total cost of this project will be. (b) How much are you requesting from CHNEP for this project? Remember the MAXIMUM request is $250. (c) Provide a list of items anticipated to be purchased, including quantity and price per item (d) Who else is providing financial support of this effort and how much? Please be sure your information explains how the funds will be used and how the project will benefit the NEP in its efforts to further the management plan. (Consider what you would want to know if you were reviewing the request.)

If you wish to submit a request without a detailed budget and it is approved, the detailed budget must be approved before items are purchased. If this doesn't occur then the applicant runs the risk of not being reimbursed for certain items. For example, CHNEP will not reimburse for plants that are not native to the area, landscaping items such as rocks and boulders or presentations that do not help educate people on the issues of concern to the natural environment of southwest Florida. (8/06)

WHAT, WHEN, WHERE: 16. Please describe (in the space provided) the work/project you wish to have supported with this micro-grant. If it is an event, please include location and date. The information you provide here will provide information on what, when and where of the project. Don't forget to include as many details as necessary to justify the project. If a project is to develop a landscape, please include a pledge that the landscape will remain for at least three years from the planting. (8/06)

HOW: 17. Please describe (in the space provided) how the project will be implemented.

WHY: 18. Please describe (in the space provided) how this project will benefit the NEP in its efforts to further the management plan.

HISTORY: 19. Please provide a brief summary of completed projects supported by Charlotte Harbor National Estuary Program. This is especially important if this request is for another year of support for the same event/program. (12/05)

20. Charlotte Harbor National Estuary Program's fiscal year begins October 1. Please indicate whether you anticipate that the project and paperwork will be completed and submitted by September 1, 2008. If it can't be completed by then, please complete this form and then contact Maran Hilgendorf at 239/338-2556 ext 240 or mhilgendorf@swfrpc.org.

1. Name
2. Title
3. Organization
4. Street Address
5. Address (cont.)
6. City
7. State/Province
8. Zip/Postal Code
9. Work Phone
10. FAX
11. E-mail
12. website Address

Micro-Grant Request Form

Revised: May 08, 2008