Grant Application

Title

Organization Name  *

Street or P.O. Box  *

City  *

State  * Alabama  Alaska  Arizona  Arkansas  California  Colorado  Connecticut  Delaware  District of Columbia  Florida  Georgia  Hawaii  Idaho  Illinois  Indiana  Iowa  Kansas  Kentucky  Louisiana  Maine  Maryland  Massachusetts  Michigan  Minnesota  Mississippi  Missouri  Montana  Nebraska  Nevada  New Hampshire  New Jersey  New Mexico  New York  North Carolina  North Dakota  Ohio  Oklahoma  Oregon  Pennsylvania  Rhode Island  South Carolina  South Dakota  Tennessee  Texas  Utah  Vermont  Virginia  Washington  West Virginia  Wisconsin  Wyoming 

Zip Code  *

E-Mail Address  *

Phone Number  *

Fax

Event Date Begins  *

Event Date Ends  *

Category  * Sponsorship  Special Event  Amateur Sports Event  Municipal Project 

Amount Requested  *

Intended Use Of Funds  *

If the entire request cannot be funded, can the project be restructured for less funding?  *  Yes   No 

If so, please indicate minimum amount necessary

If not, please explain.

What are your target audiences?  *

What services does your organization provide?  *

Is there a community need for the services your organization provides?  *  Yes   No 

How will Jackson County residents and visitors benefit from your project?  *

How will you evaluate your effectiveness?  *

Are there other sources of funding that your organization can provide to match the funds requested from the Tourist Development Council?  *  Yes   No 

How will you monitor expenditures of grant funds?  *

What are your publicity and advertising plans?  *

Matching fund sources and amounts (one per line)

TOTAL MATCHING FUNDS

Other income sources and amount (one per line)

Total other income

TOTAL INCOME  *

TOTAL EXPENSES  *