AMF 2016 Grant Application

2022 CDBG-CV Grant Application

Deadline: Thursday, November 10, 2022 at 5:00 pm
Organization Name: *
If using a fiscal sponsor, name of sponsoring organization:
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail: *
Alternate E-mail:
Website:
Phone Number: *

Area Code Phone Number
Alternate/Cell Phone Number:

Area Code Phone Number
Executive Director: *
Primary Contact (if different from above):
Organization Type: *

501(c)3 Nonprofit Organization Unincorporated, Using Fiscal Sponsor
Year Founded: *
Provide a brief summary of your organization's history and mission (max. 300 words). : *

0/500
List the amount of funding your organization is requesting in Community Development Block Grant funding from the City of Salisbury. *
Summarize the project or program to be funded. Provide specific details of how the requested CDBG funds will be used by writing a narrative describing the the program's budget. *
How does this project or program address your organization's current challenges, especially as it relates to assisting low-moderate income families and individuals affected by COVID-19? *
Describe the beneficiaries (clientele) of the project or program. Estimate the total number of beneficiaries that will be impacted by your proposed program and indicate what percentage of your population is low- or moderate- income. Describe the geographical boundary your program affects.
The City of Salisbury's Consolidated Plan funds (CDBG) must be used to benefit low- and very low-income persons. Describe the estimated average income and sources of income that are typical of the population you will be assisting and which of the City's goals your project proposal will address. Include information about how your program meets at lease one of the CDBG program's national objectives. *
Describe your experience with and ability to programmatically and financially manage federal CDBG funds, which requires tracking beneficiary data, reporting, and record retention (max. 300 words)
Document Upload

Upload all applicable documents listed below. Click on the "Browse..." button to select a file from your computer. You can upload any common file format (PDF, .doc, .docx., .xls, .xlsx, etc.)
IRS Determination Letter (for incorporated nonprofit organizations):
Attach a detailed project or program budget that specifically identifies how the City of Salisbury's Consolidated Plan funds will be spent. Identify other sources of funding to be used to implement your project or program in your budget. *
Current fiscal year operating budget document showing projected budget and actual expenditures to date, as well as prior year's budget and actual expenses. Use any format or document type.
If required, please submit you most recent IRS Form 990 (for incorporated nonprofit organizations):
Please provide a list of the officers and/or Board of Directors of the organization:
Signature *

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2022 CDBG-CV Grant Application

Document Upload