BCHA Chapter Support Grant Request

Before filling out application, please read previous page

Back Country Horsemen of America Chapter Support Grant Request On-line Form

Should you have any questions, please feel free to contact the Committee Chairman at michellewade@BCHA.org and put "Chapter Support Grant Question" in the subject line.

All Fields Are Required

Organization Name (name of chapter or state requesting the grant):

Contact Name (person responsible for receiving the check and writing the report of what was done by the end of the year that the grant was received; send to michellewade@BCHA.org):

Contact Mailing Address, Street Address (no PO boxes; we need a street address to mail the check to):

City:

State:

Zip Code:

Check Name (the name the check will be written out to)

EIN Number (this EIN number MUST belong to the entity that the check is made out to):

Contact Phone:

E-mail:

Grant Award Check Mailing Address (if different from above):

Please fully describe the purpose of the grant and how you intend to use it. If you need more room to describe the purpose, please e-mail any additional attachments to michellewade@BCHA.org

Project Description, Purpose, Need & Timeline (tell us what you are going to do with the money and include the purpose, need and a timeline of work; be as specific as possible, i.e., trail maintenance, rutted out trail due to bikers, rain dates, et cetera):

Characters Left: 2000

Project Description, purpose, need & timeline - more:

Characters Left: 2000

Where will the grant be used? (Trail name, National Forest, National or State Park, BLM. If the work is to be done on private land or public land that is not easily accessed, we need a letter from the landowners stating that this trail will be accessible to the public for at least 10 years past the year of work done):

What are the benefits to the equine community, the community as a whole and the long term benefits?:

Who will be involved? List other partnering or participating groups (we would like a letter of support from these groups; send them with your application to michellewade@BCHA.org):

Will this project specifically involve youth members (with family)? Explain how:

Amount Requested:

How will this money be used (gravel, pipe, et cetera) and are there any matching funds being used to help fund this project:

Press the Submit button to send your grant request to the BCHA Chapter Support Grants Committee members for consideration.

You also may email any letters of support from the public land managers or other sources to michellewade@BCHA.org.

BCHA is a 501(c)(3) organization - EIN No. 81-0468209

**Before filling out application, please read previous page**

Back Country Horsemen of America Chapter Support Grant Request On-line Form

Keeping Trails Open for Everyone.

Before filling out application, please read previous page