American Rescue Plan Funding
Please complete the following form to apply for funding through Floyd County Government and the American Rescue Plan.
Section 1 - Worksheet
Sponsor Point of Contact
Street Address Line 2
State / Province
Postal / Zip Code
Please enter a valid phone number.
Please check category requesting funds
Support Public Health Response
Replace Public Sector Revenue Loss
Water and Sewer Infrastructure
Address Negative Economic Impacts
Premium pay for Essential Workers
For all Categories
Project Funding Request
Project Total Cost
Is Project leveraging other funding sources?
Please identify source and amount?
Project Scheduled to be completed:
Section 2 - Project Information
Request $25,000 Grant Financial Impact
Request $50,000 Grant COVID-19 Program
Please provide a narrative on how the request for funding responds to the COVID-19 pandemic?
Please provide a narrative identifying the negative impacts from COVID-19 pandemic?
Please provide a narrative on how the proposed project mitigates the negative impacts of the COVID 19 pandemic?
Please provide a narrative on the need for the funding and explain why it cannot be received from other sources.
Does the project require user fees?
Please explain status regarding user permitting:
Please identify the number of project recipients:
If using a Federal/State Grant/Loan Program, please identify amount and availability:
Please add any other pertinent information for review:
Should be Empty: