Community Impact Partner Application ELIGIBILITY CONFIRMATIONPlease confirm the following before proceeding:(Required) Our proposed project is located on City of Greensboro park, recreation, or open space property. We understand that Community Impact Partners lead their own fundraising efforts. We are prepared to collaborate with Greensboro Parks Foundation and Greensboro Parks & Recreation staff. We have reviewed the Community Impact Partner Program Guidelines.ORGANIZATION / GROUP INFORMATIONGroup Name(Required)Is your group:(Required) Neighborhood Association Volunteer-Led Community Group Nonprofit Organization OtherPrimary Contact Name(Required) First Last Primary Contact Email(Required) Primary Contact Phone(Required)Secondary Contact Name(Required) First Last (Recommended – will serve as additional signatory if approved)Secondary Contact Email Secondary Contact PhoneMailing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PROJECT OVERVIEWProject Name(Required)Project Location(Required)City Council District (if known)District 1District 2District 3District 4District 5Project Description & PurposeWhat is your project and why is it being proposed?(Required)COMMUNITY LEADERSHIP & PARTNERSHIPSLeadership Team(Required)(Please list the individuals leading this project and describe how responsibilities will be shared.)Names and rolesLength of involvementRepresentation of local residentsDescription of your steering committee or leadership structure Add RemoveCommunity Representation (Optional but Encouraged)Collaborating OrganizationsList any partners supporting your project (schools, civic groups, nonprofits, businesses, City staff, etc.) and describe their role.PartnersTheir Role Add RemovePROJECT GOALS & COMMUNITY IMPACTWhich outcomes does your project support? (Select all that apply)(Required) Equity in public spaces Activated parks and healthy people Environmental sustainability Recreation and wellness Youth engagement Historic preservation Arts and culture Accessibility improvements Community building Other (please describe)Untitled(Required)Community Impact Statement(Required)BUDGET & FUNDINGAnticipated Project Budget(Required)(Provide total projected budget. Include phasing if applicable.)Upload budget document (optional)Max. file size: 50 MB.Anticipated Funding Sources(Required)(Where will funding come from?)Planned Fundraising Activities(Required)(Describe how you plan to raise funds.)Existing or Committed Funding*(Required)(List any confirmed or pending funding sources.)PROJECT LOGISTICSLand Ownership & Permission(Required)(Confirm City ownership and describe any conversations or approvals received from Parks & Recreation staff.)Project Timeline(Required)Long-Term Stewardship Plan(Required)(Who will be responsible for ongoing maintenance or programming once the project is complete?)CAPACITY & SUSTAINABILITYVolunteer Engagement Plan(Required)(How will you recruit and retain volunteers?)Long-Term Sustainability(Required)(How will your group ensure the project remains active and supported beyond initial completion?)ADDITIONAL INFORMATION(Is there anything else you would like us to know about your project or community?)UntitledACKNOWLEDGEMENT & ATTESTATIONBy submitting this application, I certify that:Untitled(Required) I have authority to submit this proposal on behalf of the applying group. The information provided is accurate to the best of my knowledge. Our group agrees to collaborate in good faith with Greensboro Parks Foundation and City staff.Typed Name:(Required)Date(Required) MM slash DD slash YYYY
