City Appropriation Request Form

Use this form to submit a request for City of Oxford appropriation funding. Please provide complete and accurate information about your organization, the amount requested, how the funds would be used, and the expected public benefit to Oxford residents. Applicants must submit three years of audited financial statements, proof of current 501(c)(3) status, a current organizational budget, and the most recent Form 990.

The committee chair will conduct an initial review. Requests that meet the eligibility requirements will be presented to the full Appropriations Review Committee. The committee will review each request and make a recommendation to the City Council. A recommendation does not guarantee funding; the City Council has final authority to approve, deny, or modify a request.

If funding is approved, the organization must sign an appropriation agreement covering the approved use of funds, the spending deadline, required financial and performance reports, and return of unused or improperly spent funds.

Individual Submitting the Request

First NameLast Name

Organization Name

Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

As part of my Request submission, I am uploading the following: three (3) years of audited financial statements, 501c3 determination letter, current organizational budget, most recent form 990.

File Upload

Amount Requested

Specific Purpose and Proposed Use of Funds

How many Oxford residents will be served as a result of the funding?

Cost per Oxford resident served

Please describe the public benefit to the City of Oxford.

Explain what the requested funds will pay for and what service, activity, or result the public will receive. Identify who will be served, how Oxford residents or the public can participate or access the benefit, and the number of people expected to benefit. Include specific, measurable outcomes where possible. Describe how the proposed use serves a public purpose, rather than only supporting the organization’s general operations or private interests.

Please detail measurable goals and expected outcomes.

Describe the specific results you expect this project to achieve and how you will measure them. Include measurable targets, such as the number of people served, activities completed, or services delivered, and when you expect to achieve them.

List other funding sources, including organizational funds committed to the project.

List other funding sources for this project, including grants, donations, fees, partner contributions, and funds your organization will contribute. For each source, provide the amount and indicate whether it is confirmed, pending, or proposed. If the project has no other funding, please say so.

Indicate whether this is a one-time request or whether you expect to request City funding again in future years. If recurring, a new form must be submitted each year; recurring requests are reviewed annually, and future funding is not guaranteed.

Does the project, program, or service duplicate services already provided by the City or another organization?

Please allow up to three weeks after submitting a complete request for the committee’s full review and response. Organizations should submit requests at least 90 days before funds are needed to allow time for review and processing.

By entering my name and submitting this form, I intend to sign it electronically. Federal law generally provides that a signature or record may not be denied legal effect solely because it is in electronic form (E-SIGN Act, 15 U.S.C. § 7001).

By signing, I certify that I am authorized to submit this request on behalf of the organization and that the information and documents provided are true, accurate, and complete to the best of my knowledge.

Signature