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[null,"規則様式１"]
[null,"緑の募金公募事業応募申請書\n(一般公募事業）"]
[]
[{"$nulls":6},"平成　　年　　月　　日"]
[]
["公益社団法人　国土緑化推進機構"]
["     理事長　佐々木 毅　殿"]
[]
[{"$nulls":4},"申請人の住所等              "]
[{"$nulls":4},"　　     　〒","　　　-"]
[{"$nulls":4},"　　　住　所　"]
[{"$nulls":4},"　　　法人・団体\n　　　の名称"]
[{"$nulls":4},"　　　代表者氏名                         　　",null,null,null,"印"]
[{"$nulls":5},"TEL","       (    )"]
["   下記の活動を行いたいので、「緑の募金」の支援を要望します。"]
[]
[null,"記"]
[]
["１．事業名（事業名は事業の説明にならないように20字程度で簡潔に記載。）"]
[]
[]
["２．事業目的・概要（何故この事業を行うのか、概要とともに課題や背景、波及効果、意義等を\n　　　　　　　　　　　　　　具体的かつ簡潔に記載。必要に応じて参考資料等を添付。）"]
[]
[]
["３．事業内容（具体的かつ簡潔に記載。必要に応じて全体構想やこれまでの活動など参考資料を添付。）"]
[]
[null,null,"(注） SDGsとの関係について、別添様式３に記載してください。"]
[]
["４．事業場所（位置図を別途添付）"]
[null,"（都道府県・市町村・地番・所有者等）",{"$nulls":4},"面積（植栽等）",null,"ヘクタール"]
[{"$nulls":6},"延長（歩道等）",null,"メートル"]
["５．現地の状況（別途説明付きの写真、図面等を添付。必要に応じて参考資料を添付。）"]
[]
[]
["６．事業実施希望期間"]
[null,"  平成  　  年　　 月　 ～　 平成　　　年　　　月　　"]
[]
["７．事業実施スケジュール（イベント等で予め月日が決まっているものは月日まで記載。）"]
[null,"時期",null,null,"内容"]
{"$rows_empty":9}
["８．事業実行に必要な人数（見込み数）"]
[null,"事業準備等関係者　●人\nボランティア等 参加者　●人\n外部講師　●人× ●日 × ●回"]
[]
["９．必要人数の確保方法（具体的な方法と手段）"]
[]
[]
["10．募金事業完了後の維持管理の方法等"]
[]
[]
["11．「緑の募金」の周知と募金活動へのご協力予定（具体的な方法と手段）"]
[]
[]
["12．今回の緑の募金公募事業の情報の入手先"]
[]
[]
["13．資金計画書"]
[null,"区分",null,null,null,"予算額\n(千円)","内訳"]
[null,"収入の部","緑の募金交付金"]
[null,null,"自己資金"]
[null,null,"その他助成金"]
[null,null,"合計",null,null,0]
[null,"支　出　の　部","緑の募金交付金の使用内訳","行動費"]
[]
[]
[]
[null,null,null,"小計",null,0]
[null,null,null,"環境\n整備費"]
[]
[]
[]
[null,null,null,"小計",null,0]
[null,null,null,"資材費"]
[]
[]
[]
[null,null,null,"小計",null,0]
[null,null,null,"資材等\n運搬費"]
[]
[]
[]
[null,null,null,"小計",null,0]
[null,null,null,"指導者\n経費"]
[]
[]
[null,null,null,"小計",null,0]
[null,null,null,"事務費"]
[]
[]
[]
[null,null,null,"小計",null,0]
[null,null,null,"交付金計",null,0]
[null,null,"自己資金等\nの使用内訳"]
[]
[]
[null,null,null,"自己資金等計",null,0]
[null,null,"合計",null,null,0]
[null,null,"(注１）外部委託の計画がある場合には、別添様式１に記載してください。"]
[null,null,"(注２）自己資金等には他団体からのその他助成金を含めてください。"]
["14．申請者の概要"]
[null,"法人・団体の設立年月日"]
[null,"連絡先       電話番号"]
[null,"             ＦＡＸ番号"]
[null,"             Ｅ－ｍａｉｌ　"]
[null,"             ホームページ"]
[null,"会員数"]
[null,"活動目的"]
[null,"主な活動内容"]
[null,"主な活動エリア"]
[null,"これまでの「緑の募金公募事業交付金」による実績等",null,null,null,"（別添様式２に簡潔に記載。）"]
[]
[null,"連絡先（必須記入：確実、迅速に連絡が取れる担当者名を記載してください。）"]
[null,"（ふりがな）"]
[null,"担当者氏名                               "]
[null,"担当者役職"]
[null,"電話番号（自宅又は会社）：選択"]
[null,"携帯番号"]
[null,"ＦＡＸ番号"]
[null,"Ｅ－ｍａｉｌ"]
[null,"（注）募集規則「４.応募要件」の証となる定款等を添付してください。"]

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["別添様式１"]
[]
["緑の募金公募事業（2019年度） 外部委託計画について"]
[]
[]
["作業の一部を外部に委託する計画がある場合、以下についてわかる範囲でご記入ください。"]
[]
["１.委託予定の作業内容"]
[]
[]
["２.委託予定の作業の全体計画量及びボランティア分と外部委託分の内訳"]
["委託予定の作業内容",null,null,null,"単位","計画量",{"$nulls":4},"備考"]
[{"$nulls":5},"全体","内訳",null,null,"委託\n割合\n（%）"]
[{"$nulls":6},"ボラン\nティア分",null,"外部委託分"]
[]
[{"$nulls":9},0]
[{"$nulls":9},0]
[{"$nulls":9},0]
[{"$nulls":9},0]
["（注）面積は、区域面積ではなく、実作業面積としてください。"]
[]
["３.外部委託せざるを得ない理由"]
[]
[]
["４.委託予定先"]

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["別添様式２"]
["これまでの「緑の募金公募事業交付金」による実績等"]
[]
["１．年度別交付金額、主な事業量及び成果等（Ｈ26～30）：主な成果等は可能な範囲で、簡潔に記載してください。"]
["　　記載方法：①所定の様式内に記入（別途写真等を添付）　　　②同一年度に複数の公募事業を実施した場合は行を追加"]
[]
["年度","事業名\n（実施団体名）","交付金\n確定額\n（千円）","主な事業量\n（単位は、植栽面積、下刈、除・間伐はha、植栽本数は本。その他は、歩道整備（m）、\nイベントの種類・回数等を適宜記載）",null,null,"主な成果\n（実施した結果、\nどう変わったのか）","自己評価\n（達成度・反省点・課題等）",null,null,"前年度までの成果による\n工夫・新たな取り組み"]
[]
[]
[]
["Ｈ26",null,null,"植栽面積・本数"]
[null,null,null,"下刈"]
[null,null,null,"除・間伐"]
[null,null,null,"その他"]
[]
["Ｈ27",null,null,"植栽面積・本数"]
[null,null,null,"下刈"]
[null,null,null,"除・間伐"]
[null,null,null,"その他"]
[]
["Ｈ28",null,null,"植栽面積・本数",null,null,"\n\n\n\n[参加人数：　　人]"]
[null,null,null,"下刈"]
[null,null,null,"除・間伐"]
[null,null,null,"その他"]
[]
["Ｈ29",null,null,"植栽面積・本数",null,null,"\n\n\n\n[参加人数：　　人]"]
[null,null,null,"下刈"]
[null,null,null,"除・間伐"]
[null,null,null,"その他"]
[]
["Ｈ30",null,null,"植栽面積・本数",null,null,"\n\n\n\n[参加人数：　　人]"]
[null,null,null,"下刈"]
[null,null,null,"除・間伐"]
[null,null,null,"その他"]
[]
["※　虚偽記載は、不採択や「緑の募金交付金交付要領」第９条第１項第１号（申請に不正の事実）に基づく取り消しの対象となる場合があります。"]
[]
["２．団体の名称を変更した場合の理由　：ここ10年間の間に団体名を変更した場合、旧・新名称、変更時期・理由等を記載してください。"]
["　　 "]
["年度","旧名称",null,"新名称",null,"変更の時期・理由等"]

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["別添様式３"]
[null,"実施事業とＳＤＧs（持続可能な開発目標）との関連について"]
[]
[]
[]
[null,"このチェック表は、予定される実施事業とＳＤＧs（持続可能な開発目標）との関連について確認するものです。\n"]
[null,"１．実施予定事業が、ＳＤＧsの１～17の目標達成に向けて関連していると思われる項目にチェック「✓」を"]
[null,"してください。（複数チェック可）"]
[null,"ＳＤＧsの目標",null,null,"チェック",null,"ＳＤＧsの目標",null,null,"チェック",null,"ＳＤＧsの目標",null,null,"チェック"]
[null,1,null,"貧困をなくすこと",null,null,7,null,"再生可能エネルギー",null,null,13,null,"気候変動への対策"]
[null,2,null,"飢餓をなくすこと",null,null,8,null,"適切な良い仕事と経済成長",null,null,14,null,"海のいのちを守ること"]
[null,3,null,"健康であること",null,null,9,null,"新しい技術とインフラ",null,null,15,null,"陸のいのちを守ること"]
[null,4,null,"質の高い教育",null,null,10,null,"不平等を減らすこと",null,null,16,null,"平和で公正な社会"]
[null,5,null,"ジェンダーの平等",null,null,11,null,"持続可能なまちと地域社会",null,null,17,null,"目標のために協力すること"]
[null,6,null,"清潔な水と衛生",null,null,12,null,"責任を持って生産し、消費すること"]
[]
[]
[null,"２．実施予定事業が、１でチェックした項目に関連していると思われる理由を記述してください。"]
{"$rows_empty":13}
[null,"（注）","ＳＤＧs（持続可能な開発目標）は、貧困や格差、気候変動、海・陸の豊かさなどのさまざまな問題を抜本的に"]
[null,null,"解決することを目指す、世界共通の17の目標です。"]
[null,null,"詳しくは、国連広報センターのサイトや国土緑化推進機構のサイトの「ＳＤＧs宣言」をご参照ください。"]
[null,null,"http://www.unic.or.jp/activities/economic_social_development/sustainable_development/2030agenda/"]
[null,null,"http://www.green.or.jp/about-us/decleration_sdgs/"]