Dual Application (Neighborhood Association Grant & Community Improvement Grant)

This application is for Neighborhood Associations applying for both a Neighborhood Association Grant and a Community Improvement Grant. Refer to the Guidelines of both grant types for more information about this application.

Application Form

Association Name:
Contact Person:
Telephone Number:
E-mail Address:
Mailing Address:
City, State, Zip:
Project Date:
Rain Date:

Project Location: Be as detailed as possible. Include street address, neighborhood, park name, stretch of road or other relevant information.

Project Description: Provide a brief description of the project. Explain the need for this project, how the project benefits your neighborhood, plan for waste disposal, estimated number of participants, partnerships and opportunities for education.

Recycling Plan: Explain how recycling will be incorporated into the project. Include how recycled material will be separated from trash and how recyclables will be disposed of.

Award Use: Provide a brief description of how the Community Improvement (litter cleanup) grant award will be used.


Equipment

Identify the type of equipment needed for this project. Descriptions of these items can be found here.
Trash Bags Work Gloves Safety Vests
Bag Ringers Extended Reach Tools

Budget: Cleanup costs must be estimated below and approved in advance of the project. Expenses not listed on this application will be the responsibility of the Neighborhood Association. If actual expenses exceed estimated expenses KLLCB will work with the Neighborhood Association to reimburse the additional expenses (decisions are based on available funding). For a list of approved expenses see the Neighborhood Association Grant Guidelines.

Expenses
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Subtotal Expenses: $

Donations and In-kind
(vehicle fuel, pickups & trailers, tools, refreshments, sponsorship, advertising, etc.)
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Item: Estimated Cost: Quantity: Total:
Subtotal Donations: $
Total Budget
(Expenses + Donations):
$

By checking this box you confirm that you have read and understood both the Community Improvement Grant and the Neighborhood Association Grant Guidelines and agree to comply with all requirements. Incomplete applications will be returned.

Thank you for keeping our community clean, healthy and safe!
Funding for this program is provided by the Nebraska Department of Environmental Quality and the City of Lincoln.