Questions marked with a * are required
SportDOG Conservation Fund®
2013 Youth Grant Application

1. Please complete all applicable questions.

2. Questions regarding this application may be directed to

3. Please save a copy for your records by completing the Review/Print option at the
end of the application process.

4. Please complete and submit application no later than October 1, 2012


Project Proposal ID:
(Please leave blank. This information will be completed by the Review Committee)
SportDOG Brand Conservation Fund grant amount requested. (up to $1,000 maximum)

1. Applicants full name: *

2. Applicants title: *

3. Application date (mm/dd/yyyy): *

4. Applicants mailing address: (street, city, state, zip code) *

5. Applicants email address: *

6. Applicants telephone number: *

7. Please select the primary animal group your project will benefit:

8. Please provide the primary target species your project will benefit: *

9. State, Federal, or local government agency project representative if applicable:
(please include name, title, address, phone number, and email)

10. Project Title: *

11. Project Summary: (how will this project benefit wildlife and/or habitat?) *

12. Project Location: (Identify the project city, county, state) *

13. Problem Description: (what conservation need does the project address?) *

14. Project Objectives (number and list the objectives your project will accomplish) *

15. Project Partners:
(number and list the project partners and their respective funding or in-kind contribution value to the
project if applicable)

Please contact if you have any questions regarding this application.