Project #

OFFICIAL USE ONLY


HUNTING HERITAGE SUPER FUND PROJECT PROPOSAL

Date Check Needed

State/Prov.:

Amount of request: $

NWTF-A/R: Invoice Number:

Abbreviation State Number OFFICE USE ONLY

Check payable to: Check to be mailed to: Address: City: State/Prov.: Zip/Postal Code: - Daytime Phone: ( ) Fax: ( ) Email:

County Involved: Select County Name and Number

Chapter Involved: Select Chapter Name and Number Regional Director: ______

CHECK THE APPROPRIATE BOX:
Youth Education Habitat Enhancement (Hunter Safety Continued) Travel Expenses
o 5401 Scholarship o 5801 Habitat equipment o 6203 Hunter safety equipment o 8001 Agency travel
o 5402 Education box o 5802 Prescribed burns o 6204 DART Interactive Training o 8002 Volunteer travel
o 5403 Education box refill o 5803 Payment for standing crops System
o 5404 4-H/4-H Shooting o 5804 Contract labor o 6205 Hunter safety course Women’s Program
o 5405 Teacher workshops o 5805 Equipment rental support o 8101 WITO event - state or local
o 5406 Museum/OEC o 5806 Wildlife openings/brood habitat o 6206 Shooting range support o 8103 National WITO Event
o 5407 Magazine subscriptions o 5807 Water development o 8104 WITO support materials
o 5408 Educational materials o 5808 Signs - Habitat JAKES o 8105 WITO equipment
o 5409 FFA enhancement o 6401 JAKES event/hunt
o 5410 Presentation equipment o 5809 Riparian restoration - state or local Wheelin' Sportsmen
o 5411 Archery in the Schools o 5810 Tree planting o 6402 Youth event - Non-JAKES o 8801 WS event - state or local
o 5811 Winter assistance o 6403 National JAKES event o 8802 Disabled event - Non-WS
Volunteer/Professional Education o 5812 Timber stand improvement o 6404 JAKES support materials o 8803 National WS Event
o 8601 Vol. Leadership conference o 5813 Invasive/exotic control o 6405 JAKES equipment o 8804 WS support materials
o 8602 Professional Meeting support o 5814 Supplement cost share o 8805 WS equipment
o 8603 Landowner appreciation program Land Purchase
o 8604 Wild Turkey Woodlands o 5815 Private lands project o 6601 Land Purchase Other
o 8605 Billboards through established SF o 6602 Conservation easement o 7001 Chapter rebate
o 8606 State newsletters Program o 6603 State Access Program o 7002 Organizational dues
o 8607 State websites o 5816 Fencing o 7003 Regional staff support
o 8608 NWTF Convention Replacement Cost o 7007 Turkey Hunters Care registration Habitat Enhancement o 7201 Reimbursement for turkeys o 7005 Other
o 8609 Conference registration NWTF Project Support o 7202 Shipping expenses Description: o 8610 Presentation equipment o 5601 Regional program support o 7203 Disease testing o 8611 Educational material o 5603 Spring seed subsidy
o 8614 Outdoor education area o 5604 Fall seed subsidy Research
o 8615 Educational booth o 5606 Conservation Seed Program o 7401 Research equipment / Equipment Purchased
(Choose up to 2)
o 01 Tractor
o 02 Disc/Harrow
o 03 Grain drill
o 04 ATV
o 05 Rotary mower
o 06 Planter
o 07 Weight scales
o 08 Camera/Video Camera
o 09 Prescribed burn equipment
o 10 Turkey trapping equipment
o 11 Radio telemetry equipment
o 12 Law enforcement equipment
o 13 TV/VCR
o 14 Sprayer
o 15 Trailer
o 16 Management equipment
o 17 Computer equipment
o 18 WITO equipment
o 19 JAKES equipment
o 20 Disabled equipment
o 21 Hunter Safety equipment
o 22 Signs
o 23 Gates
o 24 Other
Project Location
Landowner Name:
o 01 State/Provincial Wildlife Agency o 02 State/Provincial Forestry Agency o 03 State Water Management Dist.
o 04 State Park Service
o 05 U.S. Fish Wildlife Service
o 06 U.S. Forest Service
o 07 National Park Service
o 08 Bureau of Land Management
o 09 Department of Defense
o 10 Army Corps of Engineers
o 11 Private Industrial Landowner
Name:
o 12 Private Landowner
o 13 County property
o 7402 State research
Management Hunting Heritage o 7403 NWTF Research Grant
o 6801 Turkey management o 6001 Hunting Heritage Fund support
activities o 6002 U.S. Sportsmen’s Alliance o 7404 Temporary labor
o 6802 Check station support o 6003 Olympic Shooting Team
o 6803 Trapping support o 6004 NSSF Restoration
o 6804 Law enforcement support o 6006 Hunting Heritage projects o 7601 Turkey trapping expenses
o 6805 Signs - management o 6007 NASC o 7602 Trapping equipment o 6806 Gates and barriers o 7603 Signs - Restoration o 6807 Government employee Hunter Safety
salaries/expenses o 6201 Hunter safety materials Reward
o 6808 Surveys o 6202 Public service o 7801 Reward payments
o 6809 Maps/photos for plans announcement/Billboards o 7802 Signs - Reward o 6810 Management plans o 7803 Reward program o 6811 Temporary labor
o 6812 Depredation abatement / Acres Affected:
# Lime/Fertilizer: No. Seedlings: No. Tree Protectors:
# Seed: No. Items Purchased: Event Date:
Refuge /WMA /GMA /SGL Name:
Select
(See support info for code)
National Forest Ranger District:
Select
(See support info for code)
COOPERATORS (See support information for Cooperator Code & Cooperator Category/Name code numbers)
Cooperator Code / Cooperator Category/Name Code (If applicable) / Name / Amount
1. / Cooperator Code/ Cooperator Category /Name Code/ Cooperator Name
2. / Cooperator Code/ Cooperator Category /Name Code/ Cooperator Name
3. / Cooperator Code/ Cooperator Category /Name Code/ Cooperator Name
4. / Cooperator Code/ Cooperator Category /Name Code/ Cooperator Name
5. / Cooperator Code/ Cooperator Category /Name Code/ Cooperator Name

Brief Description of Project:

Project Originator: Daytime phone: ( ) Email:

Approval:

REGIONAL BIOLOGIST

State/Prov.President: Date: Date: TechnicalCommitteeRepresentative: Date:

NWTF Staff: Date:

One copy NWTF; One copy NWTF Regional Biologist/Regional Director; One copy State Chapter President