America 250 NC
Department of Natural and Cultural Resources
America 250 NC Local Grants: Community Programs Application
Local governmental entities or non-profit organizations with an IRS 501(c)3 determination letter. Matching funds required.
Matching Funds
Matching funds for the competitive grants are required. Matching funds must equal 10% of the total grant award for applicants in Tier 1 counties. For applicants in all other counties, the match must be 15% of the total grant award. Please list the source of matching funds in the Budget documents.
Request Amount
Minimum Request Amount: $2,500 Maximum Request Amount: $30,000
Project Title
*
Applicant/Project Sponsor
The lead applicant will be the fiscal agent for the project and will be responsible for final reporting.
Contact Name
*
Organization
*
County
*
Website
America250@nc.dncr.gov
E-mail
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Type
*
Please Select
Official County 250 Committee
Government
Tribal Entity
Museum
Visitors Center
Chamber of Commerce
College or University
Non-Profit Organization
Other
IRS letter attached
*
Yes
No
If no, briefly explain.
Project Director
The project director will lead the day-to-day operations of the project and will ensure that the project is kept on time, within budget, and that all deliverables are met. The project director will be the primary point of contact for the American 250 NC grants officer.
Project Director Name
*
Organization
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Budget Officer
The Budget Officer will be the chief fiscal officer for the lead applicant and will be responsible for ensuring grant funds are spent according to the grant application and all applicable state laws.
Budget Officer Name
*
Organization
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorizing Officer
(If different from above)
Authorizing Officer Name
Organization
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Project Summary
See instructions prior to completing this section.
Abstract
*
Please briefly summarize the applicant, the project’s goal or purpose, and the subject matter the project addresses. This description may be used in publicity.
0/2000
America 250 NC Themes
*
Explain how this project relates specifically (not tangentially) to the themes of America 250 NC. https://www.america250.nc.gov/about/commemorative-themes
0/1000
NC County Tier
*
Please Select
Tier 1
Tier 2
Tier 3
Need Help? Visit https://www.commerce.nc.gov/grants-incentives/county-distress-rankings-tiers
Prior Funding from the State of North Carolina
*
Yes
No
Prior Funding
Please describe prior funding received from the State of North Carolina, including how much and for what.
Type of Project
*
Please Select
Public Art or Mural
Wayside
Local Marker
Local Exhibit
Online Exhibit
Research
Educational Outreach
Event Expenses
Please see instructions for detailed description of eligible projects.
Project Narrative
*
See instructions prior to completion.
0/7000
External Review
*
Yes
No
External Review Process
Please describe the process. What is your plan to ensure the accuracy of the historical information?
Communications Plan
*
See instructions prior to completion.
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Project Deliverables/Impact
Deliverables/Expected Outcome
*
See instructions prior to completion.
Measurement of Success
*
See instructions prior to completion.
Participation and Access
*
See instructions prior to completion.
0/1000
Longevity/Lasting Impact
*
See instructions prior to completion.
0/500
Partnerships
*
See instructions prior to completion.
Project Timeline Summary
*
See instructions prior to completion.
0/1000
Budget Summary
*
Please list the source of matching funds in the Budget document.
IRS non-profit Letter
*
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IRS non-profit determination letter. If you do not have an IRS letter, please upload a PDF with a statement explaining why. This should be brief, 1-2 sentences.
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Statement of all State Funds/Grants received by fiscal agent
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Download Budget Form
Budget Form
*
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Multiple files supported
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Conflict of Interest Policy/Ethics Statement
*
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