JOHNSON COUNTY RECREATION DISTRICT (JCRD)
P.O. Box 170
Buffalo, WY 82834
www.jcrecreation.com

APPLICATION FOR RECREATION PROJECT

Due April 16, 2018 for 12-month funding period (July 1-June 30); funds become available July 1, 2018.

GRANT POLICIES AND PROCEDURES CAN BE FOUND AT THE END OF THIS APPLICATION. IT IS THE APPLICANTS RESPONSIBILITY TO REVIEW THESE PRIOR TO COMPLETING THIS APPLICATION.

Please complete the following. Attach additional sheets as needed.


             
             
  1. Describe your club/organization by answering the following:
  2. If your application could potentially impact structures or grounds of the Johnson County School District #1, including electrical, plumbing and HVAC, the application must be reviewed by the JCSD #1 Maintenance Department prior to submitting the application. A copy of the completed work order signed by maintenance personnel must be included with the application. Applications will not be considered without this documentation, and will be returned.
Attach a timeline or action plan for your project. Attach a detailed projected budget for your project, itemizing all expenses. You may use the attached form, or develop any format that you think explains the project’s budget. Additionally, if you are reapplying, you must attach a final report or status report.

By signing this application I acknowledge that I have read and will comply with all policies and procedures of the Johnson County Recreation District.
Note: JCRD funds are available because of a recreation mill levy in the county. This is made possible by an act of the legislature and action taken by the JCSD #1 Board of Trustees. These funds can be used only for community public recreation purposes. Additional information can be gained by attending any JCRD board meeting.

JCRD does not discriminate on the basis of race, color, national origin, sex, age, disability, political affiliation, religion or belief.

JOHNSON COUNTY RECREATION DISTRICT (JCRD)

Budget Form

Agency
EXPENSES


AMOUNT


Staff Salaries (employees of agency)
Staff Benefits
Program
Contracted Services
(professional services, bookkeeping, etc)
REVENUE AMOUNT Repairs & Maintenance





(Please list all monies available to this project/agency)
Rental
Postage
Funds requested from JCRD
Telephone
Fees
Advertising
In-Kind Contributions
Printing
Donations
Supplies
Other Grants
Equipment & Machinery (provide detailed list)
Other Cash/Funds
Dues & Fees
Other Revenue(Please describe)
Other Expenses (Please describe)
TOTAL REVENUE/FUNDS TOTAL EXPENSES
Reminder: When completing a budget, the revenues and expenses must balance
Date
Completed by:
Note: You may supply additional information with this form as an attachment.
END OF APPLICATION

THIS DOCUMENT FOR INFORMATION ONLY – DO NOT INCLUDE WITH APPLICATION

JOHNSON COUNTY RECREATION DISTRICT (JCRD)


Purpose: Support programs to increase community participation in a variety of recreational endeavors
Which are available to the public.


GRANT POLICIES & PROCEDURES


  1. Grants will not be considered for academic programs. All projects must be recreational in nature.
  2. All activities/programs are to be available to the public, as appropriate for children or adults, and are to be advertised appropriately.
  3. Private and public agencies may be funded once per twelve-month per month period unless determined otherwise by the Johnson County Recreation Board.
  4. Non-district organizations are defined as those with federal tax identification numbers. Non-district organizations will be required to include their federal tax identification number to qualify for funding.
  5. Equipment necessary to initiate or enhance a program will be considered. Applications must justify expenditures for equipment.
  6. Final reports are required for all completed projects. Final reports are required to maintain eligibility for future funding.
  7. If a project has not been completed by the end of the funding cycle, which is June 30th of the following year, a status report is to be submitted; however, the Board expects that funds will be used within the funding period for which they were granted.
  8. Expenses for travel will be paid under the following circumstances:
    1. Travel expenses will be limited to event registration, transportation, lodging and meals.
    2. Travel expenses will be allowed for a limited number of chaperones as approved through the grant application process. Chaperones should be justified within the application and must be at least 21 years old.
  9. The JCRD Board recommends that a wage of not more than $20 per hour is an appropriate amount to be paid for projects supported by JCRD funding.
  10. Successful grant applicants must submit request by December of each year. If funds are not requested by this date, the grant funds will be returned to the grant pool.
  11. Grants submitted that improve property of the City of Buffalo or Johnson County School District #1 shall show how project shall be sustained.
  12. All projects shall be branded and proof submitted with the final report.

THIS DOCUMENT FOR INFORMATION ONLY – DO NOT INCLUDE WITH APPLICATION

NOTICE TO NON-PUBLIC ENTITIES OR INDIVIDUALS APPLYING FOR JCRD FUNDS


The application for JCRD funds requires that you identify the tax status of your organization and provide a tax identification number or social security number. The number is for reporting by the JCRD for IRS income tax purposes.

You should be advised that if your organization is not a non-profit organization with tax exempt status approved by the Internal Revenue Service there may be income tax consequences to your receipt of the JCRD funds. A Wyoming non-profit corporation is not tax exempt for IRS income tax purposes unless the corporation’s exempt status has been approved by the IRS.

You should consult with a CPA/accountant or an attorney to determine your tax/legal status.

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