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5. Welcome to the Morgantown Mosaic Neighborhood Engagement Initiative Application

   Morgantown Mosaic is a microgrant program that supports resident-led projects designed to strengthen neighborhood identity, encourage community pride, and improve shared spaces across the city. From public art and beautification to signage, events, and small-scale physical improvements, the program helps bring local ideas to life.

   If you’re ready to make a meaningful impact in your neighborhood, we invite you to apply and contribute to a more connected and vibrant Morgantown.

6. 
8. Project Name:*
10. Proposed Activity Date(s):*
11. Tentative Completion Date:*
    Tentative Completion Date:
13. Proposed Site Location Address (Be Specific): *
15. Ward Located Within:*
    -- Select One --1st Ward2nd Ward3rd Ward4th Ward5th Ward6th Ward7th Ward

    To verify which ward your project is located within, please consult the Morgantown City Wards Map

17. Is the proposed project located on private property:*

    1. Yes
    2. No
18. Private Property Authorization Letter

    If the project is located on private property, please include a letter from the property owner authorizing your group to complete your project if selected.

    Projects located on city property may require approval from specific department heads.

    An example of an acceptable Property Owner Authorization document can be found HERE. 

22. CONTACT INFORMATION
24. Primary Contact/Project Coordinator:*

    Project Coordinators must be community members and cannot be paid employees of the City of Morgantown. To maintain fairness and avoid conflicts of interest, Project Coordinators also may not serve on the scoring or selection committee for the project.

25. Are you a member of a qualified Neighborhood Association? If so, which one:*
    -- Select One --Evansdale Neighborhood AssociationFirst Ward Neighborhood AssociationGreenmont Neighborhood AssociationJerome Park Neighborhood AssociationNorwood Neighborhood AssociationSouth Hills Neighborhood AssociationSouth Park Association of NeighborsSuncrest Neighborhood AssociationWiles Hill-Highland Park AssociationWoodburn Association of NeighborsN/A
27. Phone*
28. Email*
30. Address*

    The primary applicant must be a resident of a qualified ward located within city limits. To verify your address is located within Morgantown boundaries, please consult the Morgantown City Wards Map

32. Additional Project Contact #1:*
34. Phone*
35. Email*
37. Address*
39. Additional Project Contact #2:*
41. Phone*
42. Email*
44. Address*
48. NEIGHBORHOOD ASSOCIATION
50. Is the application on behalf of the Neighborhood Association:*

    1. Yes
    2. No
51. If you are not applying on behalf of a Neighborhood Association, please attach any letter(s) of support:
53. Is the entity applying an IRS nonprofit?*

    1. Yes
    2. No
54. If yes, please provide the EIN number:
56. Does your organization/group have liability insurance:*

    1. Yes
    2. No
57. If yes, please provide a certificate of insurance:
61. PROJECT INFORMATION
63. Please provide a concise general description of your project:*
65. What are the community needs addressed by this project and what are the expected impacts:*
67. Provide a list of any partners (community organizations, churches, businesses, etc.) and volunteer groups that will be involved in the project:*
69. How does the project engage neighborhood/community members:*
71. How will you measure impact of the project?*

    Examples of Impact Measures: 

    Attendance and Participation Tracking, Service Delivery Counts, Membership or Enrollment Data, Distribution of Goods and/or Resources, Referrals and Linkage Data, Reduced Barriers or Improved Access, Outcome-Based Measures, etc.

    Examples of Community Feedback & Satisfaction Measures:

    Short Post-Program Surveys, Community Listening Sessions, Pre- and Post-Surveys, Suggestion Boxes or QR-Code Feedback, Focus Groups, etc.

73. What obstacles or challenges do you anticipate that may affect your project and what is the plan to address them?*
75. Do you have any experience organizing similar projects?*

    1. Yes
    2. No
76. If yes, please describe:
78. Any additional supporting documents:
82. PROJECT SUSTAINABILITY PLAN
84. Please describe how the project will be sustained and maintained beyond the initial installation and who will be responsible for it?*
86. Please list the planned steps that will be taken after completion of the project to maintain the project's effect on the community beyond the grant period.*
88. Any additional supporting documents:
92. PROJECT BUDGET PROJECTIONS

    Please attach a detailed budget breaking down the costs associated with this project. A basic downloadable expense spreadsheet example can be found HERE.

    
    

    List all project expenses. Round figures to the lowest dollar. Include total costs in column A and how grant funds will be allocated in column B.

    
    

    In-kind and donated services must be identified as well.

94. Budget Documentation Support:*
98. PROJECT REQUIREMENTS
100. As the primary project applicant, I agree to the following, which is required as part of my involvement:*

     1. Applicants agree to submit periodic progress reports, including photographs of the project site improvements and community engagement efforts, while the project is being implemented.
     2. Applicants agree if awarded to attend the mandatory program orientation.
     3. The project will be completed within a six-month time period, unless otherwise agreed upon in advance.
     4. Applicants agree to submit before and after photographs and agree to participate in social media and other media activities related to the project.
     5. Applicants agree to submit a final report upon project completion.
102. ACKNOWLEDGEMENT AND WAIVER

     _{I UNDERSTAND THAT BY SUBMITTING THIS APPLICATION, I CERTIFY THAT I AM THE LEGAL OWNER OR AUTHORIZED TO COMPLETE WORK AT THE PROPOSED LOCATION; AND THAT ALL INFORMATION PROVIDED IN THIS APPLICATION AND ACCOMPANYING MATERIALS IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. IF ACCEPTED, I AGREE TO COMPLY WITH ALL RULES AND CONDITIONS SET FORTH IN THE APPLICATION. I UNDERSTAND THAT THIS APPLICATION WILL BE EVALUATED BASED ON ELIGIBILITY CRITERIA, PROJECT IMPACT, AND AVAILABLE FUNDING. I ACKNOWLEDGE THAT THE TOTAL AMOUNT OF FUNDS AVAILABLE FOR THIS PROGRAM IS DEPENDENT ON FISCAL YEAR ALLOCATION.}

104. Project Coordinator Name:*
105. Application Date:*
     Application Date:
107. I affirm my digital signature:*

     1. Yes
     2. No

     By selecting no, your application will be discarded.

Leave This Blank:


109. 1. Receive an email copy of this form.
110. Email address

     This field is not part of the form submission.

111. Submit

* indicates a required field