City of Jordan – Application for Bench Donation Page 1
APPLICATION FOR BENCH DONATION
APPLICANT NAME: ____________________________ EMAIL: ___________________________
TELEPHONE: _______________________ ADDRESS: ___________________________________
CITY: _________________________ STATE: ___________ ZIP: ________________________
PROPOSED LOCATION and ENGRAVING:
______________________________________________________________________________
Bench Donation Program Information:
Together, the Jordan Park and Recreation Advisory Commission, City Council, and By the Yard
have established a program to provide citizens with an opportunity to honor a special occasion
or memory through the donation of a bench to a specified location within the city’s park and
trail system.
This dedication provides a lasting remembrance while enhancing the park and trail system,
which is utilized daily by people of all ages. A dedication may be appropriate in honor of a
birthday, anniversary or in memory of a loved one.
Your generous gift will be recognized and appreciated.
Bench Details:
• By the Yard provides the bench at a reduced price
• Size/model/color: 60” Horizon Bench in Redwood
• Installed atop a cement slab
• Engraving (additional cost)
• Total cost $1,200.00 - $1,500.00
Administrative Process:
1. Donor submits completed Application for Bench
Donation
2. Park and Recreation Advisory Commission reviews the application, provides the
applicant with any feedback
3. Donor provides payment (cash or check) to City
4. City staff order, retrieve and install the bench
5. The City Council adopts a resolution to formally accept the donation on behalf of the
City
