Friends of Mitchell Park Funding Request 
Email completed form to info@friendsofmitchellpark.com
 
Project Title (a short descriptive name of your project): 

Date Submitted to Friends of Mitchell Park 


Project Team Leader (This person will be our point of contact for the Friends of Mitchell Park)	
Name 
Email 
Phone  

 	 
Project Description: (Provide more information about your project, including what you will do and when. The Friends of MItchell Park can fund only projects that are approved by Greenport Village. Proposals for artistic and educational events, etc., would be reviewed for funding by FoMP,  pending Village Board approval.. See our Governance section for coordinating between the Friends of Mitchell Park and Greenport Village.)
 

Village Board Coordinator if appropriate: (Enter a name of a Village Board member if you are working with one.)
Name  
Email 	 	
Phone 	 
 	 
Date Approved by Village Board: (Date that your Mitchell Park permit was approved by the Village. If it has not yet been approved, enter the date it will be presented, or TBD if you do not yet have that date.)


Village Board Resolution #: (Resolution number for an approved permit request. Enter TBD if it has not yet been voted on.)
 

Project Timeline (dates or timeframes when key milestones are planned to be completed.  If Village approval is pending, give status of permit application for a project in Mitchell Park.)
 

Itemized Project Budget (Project budget line items, including items not to be funded by the Friends of Mitchell Park) 



Funding Amount Requested of Friends of Mitchell Park (Itemize from overall Project Budget)

Other Information: (Let us know if there is other information you think would be helpful.)


How did you hear about the Friends of Mitchell Park
(e.g. Past events we have sponsored; Onine search; Ad in the East End Beacon; Ad in the Suffolk Times; Other (please explain).