Affiliate Mini-Grant Application

Affiliate Mini-Grant

Guidelines and Application for Reimbursement

The Affiliate Mini-Grant is a fund designated by the Keep Pennsylvania Beautiful Board of Directors and is available to KPB and KAB affiliates in good standing. Fund availability will be announced at the beginning of each fiscal year. Requests will be granted as funds allow and on a first come first served basis.

Please note the application periods: Applications are accepted only between November 1st and November 15th, March 1st and March 15th, July 1st and July 15th.

Please allow up to 30 days for awarded checks to be mailed. Mini-grants can be used for reimbursement of an event that took place in the past 3 months.

Guidelines:

Affiliate Fund dollars are available to affiliates who continue to fulfill obligations and requirements as outlined in the Affiliate Agreement.
Affiliate Fund dollars are available to help cover direct costs for community improvement events and projects.
Examples include but are not limited to: cleanup supplies, native trees, tire disposal, training fees, educational materials, deterrents, and signage.
Keep Pennsylvania Beautiful reserves the right to adjust reimbursement value based on fund availability.
Keep Pennsylvania Beautiful reserves the right to deny requests.
If request is for a program or event,

Program and event must be registered and reported with Keep Pennsylvania Beautiful’s Pick Up PA program.
Funds can be issued through reimbursement or direct invoice for payment.
W-9’s and insurance certificates from all paid contractors must be received at least 10 days before the event.
Itemized invoice with receipts for reimbursement must be received within 30 days of the event.

Recognition requirements – Please recognize Keep Pennsylvania Beautiful on any materials produced. Please email Stephanie Larson for a logo as needed.
Reporting Requirements – Upon project completion, fill out the online mini-grant report form. Email Kylie McCutcheon with questions.

Today's Date(Required)

Affiliate Name(Required)

This grant is only open to KPB and KAB affiliates in good standing.

Amount requested (maximum of $500)(Required)

Please enter a number from 0 to 500.

Name of person filling out application(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Reimbursement will be used for(Required)

Name of Event(Required)

Type of event(Required)

Illegal Dump Cleanup

Education Event

Special Collection/Recycling Event

Beautification Event

Other

Provide a brief description of event, including date and time(Required)

Are you producing any promotional materials or merchandise, including t-shirts, press releases, fliers etc.?(Required)

Yes, I am creating promotional materials or merchandise, such as t-shirts, press releases, fliers etc. and I will recognize KPB as a sponsor and/or us as a KPB affiliate.

No, I am not creating promotional materials or merchandise, such as t-shirts, press releases, fliers etc.

Reminder, you must follow the KPB brand guidelines.

Please contact Stephanie Larson at slarson@keeppabeautiful.org for a logo as needed or for any questions.

List participating partners(Required)

Name of whom the check should be made out to(Required)

Address where the check should be sent(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

When you later report on your event, please note that if KPB is your fiscal sponsor and your event received in kind support, you must submit proper documentation for tax purposes. This includes donor or vendor name, address, donation description and fair market value.

For questions, contact Kylie McCutcheon at kmccutcheon@keeppabeautiful.org or 724-836-4121 ext. 114.