Urban Pollinator Program Application

North Dakota Game and Fish Department Urban Pollinator Program Application

Project leader information *This question is required.

First name

Last name

Title

Street address

City

State

Zip

Email

Phone number

School/group information *This question is required.

School/group name

Street address

City

State

Zip

Website

UPP committee members
(We recommend including one teacher and a class, a maintenance team member and one parent.) *This question is required.

Name

Title

Resource personnel
(Names of organizations or individuals who will provide expertise, help plan, and assist in the implementation of the UPP garden.) *This question is required.

Name

Organization

Goals
(A short narrative of the features to be developed, activities to be implemented, and student/community outcomes expected.) *This question is required.

Site location and features
(A brief description of where the site will be located. A site map can also be included.) *This question is required.

Site use
(A description of who will use the site, how it will be used, and when it will be used.) *This question is required.

Please attach a signed letter from your school principal approving the installation of a pollinator garden on school property. Your application cannot be processed without this letter.
(Allowed file types: png, jpg, doc, docx, pdf) *This question is required.

File: {{filename}} delete

Terms of the Agreement

I understand that the initial kit will be delivered in March and my students will grow the seeds inside the classroom.

I will work with the North Dakota Game and Fish Department and the NRCS Plant Materials Center to schedule a time for plant delivery that works with all partners.

I understand that the 100 wildflower and grass plugs will arrive by May 15^th and the garden will be fully planted by the end of the school year.

I understand that it is my responsibility to prepare the site for the garden planting.

I understand that it is my responsibility to care for and maintain the garden throughout the life of the project.

Applicant signature *This question is required.

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Signature of