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Land Trust Excellence & Advancement Program
APPLICATION
Deadline November 30, 2011
The purpose of this application is to provide the Land Trust Excellence & Advancement Program (LEAP) Review Committee with the necessary information to select candidates for the competitive services available through LEAP. Please complete this application as completely and accurately as possible.
Please e-mail the application and additional information requested to: AND by November 30, 2011. Mail materials that are not available electronically to BOTH:
MaryKay O’Donnell and Kate Zurlo-Cuva
Land Trust Alliance Gathering Waters Conservancy
133 E Summit Street 211 S. Paterson Street, Suite 270
Harbor Springs, MI 49740 Madison, WI 53703
If you have questions please call MaryKay at 269-352-7032 or Kate at 608-251-9131, extension 12.
Applicant
Name of person filling out this application:
Name of organization:
Street address:
Phone #:
Email of primary contact:
Email and name of secondary contact (optional):
Website:
Primary contacts
Primary staff contact (if applicable) Primary board contact
Name: Name:
Title: Title:
Street address: Street address:
Phone #: Phone #:
Email: Email:
Background information:
1) Year the organization was founded:
2) Organizational statistics
Operations budget* 2010: Operations budget* 2007:
(*not including land acquisition)
Annual revenue 2010: Annual revenue 2007:
Annual expenses 2010: Annual expenses: 2007:
# Members/Supporters 2010: #Members/Supporters 2007:
Conserved lands 2010 Conserved lands 2007
Easements Easements
#acres: #acres:
#parcels: #parcels:
Fee lands Fee lands
#acres: #acres:
# parcels: #parcels:
#Staff 2010 # Staff 2007
Full-time: Full-time:
Part-time: Part-time:
# Board Members 2010: # Board Members 2007:
3) Description of service area (include the basin(s) your land trust services – Great Lakes or Mississippi River):
4) How often does your board meet?
5) Has your organization completed an Organizational Assessment based on Land Trust Standards and Practices in the past five years? Y/N
a. If so, when and with whom?
b. If you have completed an assessment in the past five years, please describe your progress on making suggested improvements.
6) Does your organization plan to apply for Accreditation within the next 3 years? Y/N
a. If so, what year and round are you targeting?
7) Does your organization have a current strategic plan? Y/N
a. If so, what years does it cover?
b. Do you utilize the plan to create annual work plans Y/N
(is the strategic plan active)? Describe:
8) Does your organization have and use a fundraising plan? Y/N
Does your land trust determine the stewardship costs for every acquisition? Y/N
Does your organization have dedicated stewardship funds? Y/N
a. If so, please describe your dedicated stewardship funds:
Narrative questions (Please limit your responses to a maximum of four pages, not including additional Information requested below.)
9) Please describe your land trust’s vision for land conservation in your region.
10) What do you hope to achieve by participating in LEAP?
11) Is your organization at a critical juncture or transition at this time? If so, please briefly describe the situation.
12) Participation in this program will require a commitment of time, which will vary from organization to organization.
a. What is your organization’s capacity to take on an advancement program like LEAP?
b. How will you integrate and absorb the additional workload with your ongoing activities?
c. What factors will be critical to success in your participation in LEAP?
13) Please describe your organization’s familiarity with and implementation of Land Trust Standards and Practices.
14) Does your organization benefit from collaborations with other land trusts, conservation groups, or other community non-profits? If so, please describe
15) Is your land trust involved in local, state, or federal policy initiatives or advocacy?
a. If so, please describe.
b. If not, please describe why your organization has not been involved in advocacy.
16) Currently, what are the three greatest obstacles to your organization achieving its mission and organizational goals and objectives? (Please be as specific as possible.)
1.
2.
3.
17) If you could select only one variable that will have the greatest impact on your land trust's ability to be successful in the next five years, what would it be?
18) What do you see as the three greatest opportunities in front of your organization in the next 1-5 years?
1.
2.
3.
Additional information requested:
1) List of board members and officers with contact information
2) List of staff members with titles and contact information
3) List of all committees, brief description of committee responsibilities, and frequency of meetings
4) Copy of your current strategic plan
5) Most recent budget vs. actual worksheet
6) Short history of your organization
7) Optional: provide printed materials, such as your general brochure, a newsletter, or your annual report that you think would be informative for this application.
If accepted in to the program, a board resolution or letter of commitment to participate in the LEAP program will be required.
The LEAP program is made possible through the generous support of the Charles Stewart Mott Foundation, McKnight Foundation, Gaylord and Dorothy Donnelley Foundation, Wisconsin Energy Foundation, Forest County Potawatomi Foundation, the Wisconsin DNR, and many individual supporters. Page 1 of 4