Watchable Wildlife Grant
Application Form

Proposal Name: _____________________________________________________

Date of Application: _____/_____/_____

Organization Information

___________________________________________________________________________________________________________
Name of organization 						Legal name (if different)

___________________________________________________________________________________________________________
Address 						City, State, Zip

___________________________________________________________________________________________________________
Name of Primary Contact Person 			Title 			Phone			 Email
(This person will serve as the sole contact between the Watchable Wildlife Biologist and the applying organization)

	Is your organization a 501(c)(3)?						Yes _____  No _____
		If no, is your organization a public agency/unit of government?              Yes _____  No _____

Authorization

Name and title: ___________________________________________________________________

Signature: _______________________________________________________________________

Proposal Information

Funds are being requested for (check all that apply):

  Game Species Proposal 		

  Nongame Species Proposal

Request Amount: $ __________			Match Amount: $__________

Please provide summary of request amount (max 120 words):

Proposal Narrative

Please limit the proposal narrative to two pages, 12-point font.

Timeline

Please provide a detailed timeline for completing the project by the deadline.

Date	Description	

		

		

		

		

If Applicable

o	Signage: Please attach any sign content verbiage and/or sign mock-ups for review.
o	Partners: Grant projects that include outside partnerships must have letters of support attached detailing the nature of the partnership.
o	Maps, photos, and attachments: Any additional information more clearly describing or illustrating the site may be included and does not count as part of the narrative.

Budget Sheet

•	Include items and amounts in which you will be requesting reimbursement (Grant) and those which you will be using as match (Match). Match should be valued at a minimum of 25% of the total project cost and may be in the form of cash or in-kind. 
•	Indicate if the cost is an estimate or actual. Cost of the items must be distinguished as relating to game species or nongame species. 
•	Source of funds used for match should name the individual or organization that is providing match. Include information on rate/hour for salaries/contractors, supply/equipment costs, cost/acre for restoration work, etc. (e.g., equipment rental rate is $50/hour, based on rate charged by A&Z Rental Co.; Biologist salary = $25/hour based on organization’s senior level biologist pay rate). 
•	Any partners contributing match will need to provide letters of support that clearly state the value of their contribution. Note attachments (see example) if additional explanation is necessary.

Budget Item  	Description (Attachments encouraged)	Game Species Cost
(estimate or actual)	Nongame Species Cost
(estimate or actual)	Match Cost
(estimate or actual)	

					

	Total Game Species Amount: $______	Total Nongame Species Amount: $______	Total Match Amount: $______	
	Total Grant Request Amount (Game + Nongame Costs only) = $______		

*Additional Budget Sheet on next page*

Additional Budget Sheet (if needed)

Budget Item  	Description (Attachments encouraged)	Game Species Cost
(estimate or actual)	Nongame Species Cost
(estimate or actual)	Match Cost
(estimate or actual)	

					

					

					

	Total Game Species Amount: $______	Total Nongame Species Amount: $______	Total Match Amount: $______	
	Total Grant Request Amount (Game + Nongame Costs only) = $______		

Budget Sheet Attachments & Explanation

Match Percentage Calculation

Match Amount ÷ (Total Grant Request Amount + Match Amount) = Match %

Financial Sustainability

Will this project be maintained in the future? How? (max 120 words)

What is the expected lifespan of the project? (max 120 words)

Are you applying for anything that will require annual funding to continue?      Yes _____  No _____

If so, explain how it will be maintained in the future without additional Watchable Wildlife Grants (max 120 words):

Note: If you are considering applying for permanent viewing optics; please consider other optic options such as binoculars or viewing scopes that can be checked-out for the day.

Questions? Contact Meghan Manary at meghan.manary@nebraska.gov

When submitting your application, format the subject line as follows: "Watchable Wildlife Grant Application - [Your Project Name]."