RAP Tax Program Grant Application

SANTAQUIN CITY

RAP TAX PROGRAM GRANT APPLICATION
ORGANIZATION NAME:
GRANT SUBMITTED BY:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
PHONE NUMBER:

Area Code (i.e. xxx)Phone Number (i.e. xxx-xxxx)
CELL NUMBER:

Area Code (i.e. xxx)Phone Number (i.e. xxx-xxxx)
EMAIL ADDRESS:
example@example.com
PRIMARY POINT OF CONTACT:
CELL NUMBER OF PRIMARY POINT OF CONTACT:

Area Code (i.e. xxx)Phone Number (i.e. xxx-xxxx)
EMAIL ADDRESS OF PRIMARY POINT OF CONTACT:
example@example.com
IS YOUR ORGANIZATION A NON-PROFIT?*

YESNO
IF YES, WHAT IS THE NON-PROFIT DESIGNATION?
FEDERAL TAX ID NUMBER:
GRANT AMOUNT REQUESTED: *
Round up to whole dollar (i.e. 1500)
WHAT IS YOUR 0RGANIZATION'S MISSION STATEMENT AND/OR PRIMARY FOCUS?
Santaquin City will be accepting applications starting on

April 1, 2025 until April 24, 2025 @ 5:00 pm,

submitted electronically via this form. Any approved grants, will be disbursed after July 1st of the grant year and must be expended before the end of the fiscal year which is the following June 30.

The applicant hereby acknowledges that the submitted information is correct to the best of his or her knowledge.
Narrative Questions:
1 - Please categorize your organization's primary discipline and activity type. How does your organization advance or preserve its artistic or cultural disipline within Santaquin City?
2 - Describe how the requested RAP funds will be used.
2a - Option: Upload a file which offers more information regarding how the RAP funds will be used.

Browse Files

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3 - Describe how your organization is funded. List sources of funding and dollar amounts your organization has secured in the past 12 months.
SIGNATURE:

Clear
DATE SUBMITTED:

MonthDayYear
Should be Empty:

Narrative Questions: