2009 PROJECT CANOPY ASSISTANCE PLANNING AND EDUCATION USDA FOREST SERVICE-URBAN AND COMMUNITY FORESTRY CFDA 10:675 Applicant Name: *Designated Representative: Title: Address: Phone Number: Email Address: Applicant's Federal Identification Number: Project/Program will take place on non-federal land owned or controlled by: Population: Previously Received Community Forestry Assistance Funding ? Yes ? No A. Amount of Project Canopy Funds Requested $ B. Local Match: (See Guidelines) $ C. Total Project Cost (A + B = C) $ Does your community have a comprehensive plan that includes forestry? ? Yes ? No Date certified by State Planning Office: ___________ Short Project Title: Brief Description of Project: (Describe the project, including what is to be developed, produced, performed, and/or implemented. Include project purpose and objectives) ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Name of State Senator Name of State Representative Grant applications must include: (Refer to the Project Canopy Planning and Education Grant guidelines for specific instructions) * Completed Application Form * Narrative * Detailed Budget * 3-Year Maintenance Plan * Letters of Support *As designated representative of said applicant, I hereby agree to implement this project according to the attached cost and technical proposals and to abide by all local ordinances and restrictions that apply. Signature Date **As official representative of said applicant, I hereby authorize the project submitted for the proposed Project Canopy Grant. Signature Date An original application and four copies must be in our office by 5 PM, April 10, 2009. Please send applications to: Maine Forest Service, 22 State House Station, Augusta, ME 04333. * Designated representative refers to the person authorized by the applicant to submit a grant application, sign documents and take necessary actions to undertake, direct and complete the approved project. **Official representative refers to the Mayor or Town Board Official for a municipality; a Superintendent or Principal for a school; and the Board Director or President in the case of a non-profit organization. Project Canopy Community Capacity Checklist Please rate your community’s capacity for urban and community forestry management. Put a check mark next to each capacity component that applies to your community. 1. Inventories and management plans: ____ Community has a tree and forest management plan developed from professionally-based resource assessments and inventories. 2. Professional staff: ____ Community employs or has written agreement with professional forestry staff who possess at least one of the following credentials: degree in forestry or related field, and ISA certified arborist or equivalent professional certification. 3. Tree care ordinance: ____ Community has local ordinances or policies that focus on planting, protecting, and maintaining urban and community trees and forests. 4. Local advisory /advocacy organization: ____ Community has local advocacy/advisory organizations such as active tree boards, commissions, or non-profit organizations that are formalized or chartered to advise and/or advocate for the planting, protection, and maintenance of urban and community trees and forests. Application Page 1 of 5