Cemetery Grant Report
This form needs to be completed and submitted to help satisfy the grant requirements. Due June 30th.
Cemetery Name
*
Name
*
First Name
Last Name
E-mail
*
example@example.com
Cemetery Owner
*
Cemetery Owner Contact Number
*
Please enter a valid phone number.
Step 1 - Project Narrative
Describe your project and what you accomplished using the grant
*
Step 2 - Budget Breakdown
You will need to give a breakdown of how the money was spent.
Grant Award Amount
*
Enter in the dollar amount you received from the grant.
Match Requirement
*
Enter in the match requirement in dollars.
Expenditure Detail (must equal grant amount + match requirement)
*
Account for how the grant and your match was used to accomplish your project.
Step 3 - Burial Information
Attach an updated xcel file of your burial information for the state database
*
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Photos
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Please provide photos of the work completed. If you used grant for data digitization please attach some photos of the cemetery itself. You can attach up to 4 photos.
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Should be Empty: