JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Community Impact Grant Application
Fill out this form to apply for funding.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Please provide the name of the initiative or project for which you are applying.
*
Your answer
Applicant Name (first, last)
*
Your answer
Please provide the dates for the initiative or project. If the project is ongoing or recurring (e.g., monthly events), please describe the frequency and duration.
*
Your answer
Amount requesting from the Community Impact Grant? DO NOT INCLUDE DOLLAR SIGNS OR COMMAS, ex type 5000 for $5,000.
*
Your answer
Please provide a detailed description of your grant request, including the purpose, goals, and how the funding will be used.
*
Your answer
If this initiative or project has been held before, please provide the dates it took place.
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kane County Utah.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report