2009 PROJECT CANOPY ASSISTANCE
TREE PLANTING AND MAINTENANCE
USDA FOREST SERVICE-URBAN AND COMMUNITY FORESTRY CFDA 10:675


Applicant (Entity Name):	                                                                              

*Designated Representative:	                                                  		  

Title:			                                                                                        

Address:		                                                                                        

			                                                                                        

Phone Number:	                                           Email Address:                                       

Applicant's Federal Identification Number:	                                             
	
Previously Received Community Forestry Assistance Funding 			 ? Yes			   ? No
			
Does your community have a comprehensive plan, which includes forestry?	 ? Yes   ? No
Date certified by State Planning Office: ___________

Short Project Title:	                                                                                                            

Budget:
(Refer to the Project Canopy Planting and Maintenance Grant guidelines)
GRANT REQUEST



                         LOCAL MATCH

Tree Species 
Dia.
No.
$/ tree
Total cost
Matching Items
$ Value





Trees






1 Year Maintenance






Mulch, supplies, other materials















Other Reimbursable Costs
$ Value


Labor (pruning, planting, removal)

Volunteer labor, administration, equipment 
(hourly rate $____ X  #hrs _____) =





Maintenance



Mulch, supplies, other materials







TOTAL GRANT REQUEST 
$
TOTAL MATCH ( > or = grant request)
$


Name of State Senator		                             	  
Name of State Representative	                             	_
Grant applications must include: 
(Refer to the Project Canopy Planting and Maintenance Grant guidelines)

* Completed Application Form
 
* Narrative 

* 3-Year Maintenance Plan

* Project Map

* 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.


Note: Amount Eligible for Reimbursement is Limited to $8,000.















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.