Submission This application is to be submitted by mail or to the State Parks and Public Lands Chairman:

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Georgia State Parks and Public Lands Grant Program The State Parks and Public Lands Committee is pleased to offer small matching grants to any Club, Council, or District planning and carrying out a project in a State Park or Historical Site. The program is designed to promote interest and involvement in these areas within each District, bring a greater awareness of the needs of our Parks and Historical Sites, and encourage the application of good environmental practices. Eligible locations are the State Parks or Historical Sites listed by the Department of Natural Resources (DNR) on their current web site. Guidelines Each District State Parks and Public Lands Chairman will be the point of contact for any group interested in a project in a State Park or at an eligible Historic Site. The group might be a single Club, a Council, or even an entire District. District Chairmen will assist any interested group in deciding on a project location. The project must be related to gardening, conservation, environment, or natural resources. The project must be planned in cooperation with a designated DNR official. The group sponsoring the project will be responsible for obtaining local funding for a portion of the project costs. This funding can come from the group s resources, individual or corporate funding, contributions from another non-profit organization, or any other source of funding. In-kind contributions can be considered as matching funds; however, volunteer time spent on the project will not be counted toward this. Also, in-kind contributions from the State Park or Historical Site or the Department of Natural Resources will not be counted toward the local funding needed. The Garden Club of Georgia State Parks and Public Lands program will award matching grants to the locally obtained funding, up to a maximum of $200 per grant. Funding obtained from other grants awarded by the Garden Club of Georgia, or any obtained from DNR or The Friends of Georgia State Parks will not be included as matching sources, but will be considered additional funds. Since funding is limited for these projects, the first applications received during the GCG fiscal year (May 1- April 30) will be awarded the funding, up to the maximum amount available. One project may be awarded to a Park or Historical Site in one fiscal year. GCG awarded projects will be forwarded to DNR for additional funds to a maximum of $200 per project and to Friends of Georgia State Parks for a maximum of $500 per project from their state organization and local affiliates. Projects may be scheduled at any time appropriate to the project. In order to receive a Certificate of Appreciation, projects much be completed and the appropriate certificate of completion submitted to the State Chairman by March 1. Submission This application is to be submitted by mail or email to the State Parks and Public Lands Chairman: Marilyn McDonnell 1311 York St. Evans, GA 30809 mmcdonnell25@comcast.net (706) 863-4992

Application Date Submitted Club (if applicable)_ Club # _ Council District This application is for a (choose one) Club, Council, District project. Name of Presiding Officer of group Address City State ZIP ) - Email District Parks and Public Lands Chairman Project Coordinator Address City State ZIP ) - Email Location of Project (Name of Park or Historic Site) _ Project Site Contact Person Title ) - Email DNR Coordinating Official Type of Project: Gardening Conservation Natural Resources Environmental As representative of the group planning this project and applying for the matching funds grant, I attest that the group is currently in good standing with The Garden Club of Georgia, Inc. We agree to use the funds for their stated purpose or agree to return said funds to GCG within 2 months of the anticipated completion of the project. Signature Date SP&PL Application Page 2

Project Summary Give a brief description of the project planned. Include anticipated dates for beginning and completion of project. Name any GCG awards for which you intend to apply. SP&PL Application Page 3

Proposed Project Financial Statement Project Name Project Coordinator Local Funding Sources (include copies of checks or letter of intent) Amount TOTAL Proposed Expenses (Itemize) Amount TOTAL Amount requested from GCG State Parks and Public Lands Grant $ ($200 maximum) Signature Title Date Note: The check from GCG will be made payable to the garden club/council/district making application and must be negotiated within 45 days. SP&PL Application Page 4

Completion Certification The project utilizing GCG State Parks and Public Lands grant funding at Name of State Park or Historical Site was completed on for the current year (May 1-April 30). Date Signature of Project Site Contact Signature of Project Coordinator Please submit this form, along with photos of the project, to the State Chairman by March 1. Check Here if this will be an ongoing project (more than one year) Check Here if this is the second annual project completed by the same organizing group (Garden Club/Council/District) List GCG Awards for which you have applied or will apply for regarding this project: Award # Award Name List additional grants awarded in support of this project (GCG or other grant): Grant Source (ex. GCG) Name SP&PL Application Page 5