Section I: Application Type
TLI Sponsored Project Waterways Planning Grant Select one: Large-scale planning grant (>$3,000.00) Small-scale planning grant (<$3,000.00) Select one: Self-Help trend monitoring project Education Organizational development Other study or assessment project	Sponsor Name: Waterways Restoration Grant Select one: Large-scale restoration grant (>$3,000.00) Small scale restoration grant (<$3,000.00) Select one: Lake Flowage River Stream

Section II: Applicant Information
Applicant	Type of Eligible Applicant: County City Village Town Lake District Lake Association Other Government Unit Conservation Organization
Waterway Name
Project County/Township/Section/Range
Authorized Representative Named by Resolution	Project Contact Name
Authorized Representative Title	Project Contact Title
Address	Address
City, State, Zip	City, State, Zip
Daytime Phone and Evening Phone (area code)	Daytime Phone and Evening Phone (area code)
E-mail Address	E-mail Address

Section III: Project Information
Project Title		Project Ending Date
Name of Project Supporter	Letter of Support	Name of Project Supporter	Letter of Support
1		4
2		5
3		6
Section IV: Lake Access
Number of Public Vehicle Trailer Parking Spaces Available at Public Access Sites:
Number of Public Access Sites Including Boat Launches and Walk-ins:
Section V: Cost Estimate and Grant Request
		Project Costs
		Column 1 Cash Costs	Column 2 Donated Value
1. Salaries wages and employee benefits		$	$
2. Consulting services		$	$
3. Purchased services ---printing and mailing		$	$
4. Other Purchased services (specify):		$	$
5: Supplies (specify):		$	$
6. Lab costs		$	$
7. Subtotals (sum each column)		$	$
8. Total Project Cost Estimate (sum of column 1 plus sum of column 2)		$	$
9. TLI Share Requested		$	$
Section VI: Attachments (check all that are included)

A. For all applicants:

1. Authorizing resolution

2. Letters of support

3. Copy of IRS 501(c)(3) determination letter and copies of your Articles of Incorporation and Bylaws

4. List of national and/or statewide organizations with which you are affiliated

5. List of board members names and contact information including county of residence

6. Documentation of current financial status

7. Detailed description of your organizations managment activities

8. Past reports, brochures, newsletters, annual reports or other information regarding your organization

B. For non TLI sponsored projects

1. Description of project area

2. Description of problem to be addressed by project

3. Discussion of project goals and objectives

4. Description of methods and activities

5. Description of data to be collected, if applicable

6. Description of existing and proposed partnerships

7. Discussion of role of project in planning and/or management and restoration

8. Timetable for implementation of key activities

9. Plan for sharing project results

10. Other information in support of project not described above

Section VII: Authorization
I certify that information in this application and all of its attachments are true and correct.
Print/Type Name of Authorized Representative	Title of Authorized Representative
Signature of Authorized Representative	Date Signed