Grant Request Form
Friends of the Betsie Valley Trail
(December 1, 2007)

Requesting Organization: _____________________________________________________________
Project Title: ________________________________________________________________________
Project Description:

Total Cost: $_____________________*

FBVT Portion:

Amount Requested: $_______________*
Partners: ___________________________________________________________________________
Contractor: _________________________________________________________________________
Start Date: __________________________ End Date: ______________________________________
Funds needed by:______________________
*Please itemize on another sheet to attach.

Signature: ________________________________________ Date:____________________

FBVT Action (approval/denial, Board meeting date, discussions, etc.):

Amount Approved: $_________________
Date Disbursed: ____________________

Grant Number: _______ Signature: ____________________________ Date: _________________

BVTMC Approval: Signature: _____________________________ Date: _________________

Completion Report (how funds were spent, completion date, quality of contract work, etc.):

Amount Expended: $_________________
Amount Returned: $__________________

Signature: ____________________________ Date: __________________

(See the Grant Policy page for the FBVT policy on grants.) Send completed form to FBVT President, PO Box 474, Beulah, MI 49617-0474.