Mini-Grant Application Form - Visit Dorchester

Heart of Chesapeake Country Heritage Area FY '20 Mini-Grant Application

NOTE: Deadline for Round I is Aug. 7, 2019, and Round II is Jan. 10, 2020. Please see Mini-Grant Guidelines before completing this application: https://visitdorchester.org/?p=81682

Step 1 of 4 - Applicant Information

Full Legal Name of Applicant Organization*
Type of Applicant*
- Non-profit - proof of non-profit required (including IRS letter, Articles of Incorporation, mission and list of Board of Directors
- Municipality - must be in the Heart of Chesapeake Country Heritage Area
Upload proof of non-profit status if applicable
Include IRS letter, Articles of Incorporation, mission, Board of Directors, etc.
Drop files here or

Accepted file types: doc, pdf, jpg, docx.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Enter Email Confirm Email
Phone*
Project Contact*
First Last
Contact's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Contact's Email*
Enter Email Confirm Email
Contact's Phone*

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Title of Project*
Brief Project Description*
Describe concisely the project/activities the grant would support. On what would the funds be spent, and how does it relate to heritage tourism?
Consistency & Relevance*
Explain how the project is consistent with the mission and goals of the Heart of Chesapeake Country Heritage Area (HCCHA). For the HCCHA Five-Year Action Plan, including mission and goals, go to: http://bit.ly/hccha-plan2018
Key people*
Please list the names of the key people who will conduct the project, event or activities, and briefly describe their qualifications. Include a resume or list of qualifications for each. (You may upload resumes below. Please save multiple resumes as one file and upload as one document.) If another organization is partnering with you on this project, please indicate.
Upload Resumes
If you have multiple resumes, please combine them into one or two files to upload here.
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Accepted file types: pdf, doc, docx.
Schedule*
What is the timeline or schedule for the project? Please be as specific as possible using month and year from grant award to completion.
Products*
Below, please describe any products - tangible and intangible (e.g., research report, interpretive signs, marketing materials, docent training, etc.) that will result from the project. If this project is an event, please describe the expected target audience and the potential effect on heritage tourism in the county.

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Amount of Grant Requested*
Please enter a number from 50 to 5000.
Amount & sources of cash match*
Please describe the cash match sources and provide documentation on cash match source below (e.g., latest bank or financial statement or other record of proof).
Upload cash match documentation*
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Accepted file types: pdf, doc, jpg, docx.
Itemized Project Budget*
Please list all expenses for the project - one item per line. Click the plus (+) sign at the end of each line to add more rows as necessary for each project item (up to 12 items).
Project Item Mini-Grant Request Applicant Cash Match Total Project Cost
Total Project Budget*
Total for Mini-Grant Request column should be the same amount entered for the "Amount of Grant Requested" line at the top of this page.
Total Mini-Grant Request Total Applicant Cash Match Total Project Cost
Upload other relevant documentation here
Include letter(s) of support, photos, contracts, preliminary estimates, etc.
Drop files here or

Accepted file types: pdf, jpg, doc, docx.

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Consent*
I agree to the requirements outlined in the Heart of Chesapeake Country Heritage Area Grant Application Guidelines.

Important Notes:

1. Heart of Chesapeake Country Heritage Area and Maryland Heritage Areas Authority must be acknowledged in any materials and in any publicity for a project funded by the HCCHA mini-grant.

2. If the grant is for professional development, recipients must provide a summary of their experience for the HCCHA monthly newsletter following the date of the event.

3. Grant recipients will participate in a Grant Recipient Partnership Seminar in Spring 2020.

4. Grant recipients will prepare a display about their project for the HCCHA awards reception in Fall 2020.

5. If a mini-grant is approved, the recipient must complete a Final Report providing copies of paid invoices and expenditure receipts by the specified completion deadline.

6. Project must be complete and Final Report submitted before mini-grant payment will be processed. The mini- grant payment is made as a reimbursement of the mini-grant portion of project expenditures.

7. See Application Guidelines for important information on grant terms and requirements.
I agree to the grant requirements described above.
Name of Person Submitting Application*
First Last
Date*
Date Format: MM slash DD slash YYYY
Email*
Enter Email Confirm Email
Phone*
Phone
This field is for validation purposes and should be left unchanged.

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Project Item	Mini-Grant Request	Applicant Cash Match	Total Project Cost