GENERAL FUND-Third Party Funding Application 2019-2020
Applications after the posted deadline WILL NOT be considered. All attachments MUST be submitted with original application. Application deadline -May 01, 2019.

No applications and/or attachments will be considered after the deadline.

Applicant may be asked to be present at a meeting to answer any questions regarding a submitted application. Applicants will be notified prior to meeting of the time and location.

Need assistance -Please contact the Non-Profit Management office at (956) 795-5742-Manuel De Luna Jr. Program Coordinator

Email address *
Name of Organization *
Mailing Address *
(City , State , Zip Code )
Telephone & Fax number *
Email *
State Tax Exempt Number *
Employer ID *
Board Chair *
Name of the Board Chair
Executive Director *
Name of the Executive Director
Alternate Contact Person *
Alternate Contact Person (Email) *
Amount of Grant Requested *
If applies, amount of funding currently receiving. *
How many consecutive years have the organization received City Funds? *
To the best of my knowledge and belief, all data in this application is true and correct. This application has been duly authorized by the Governing Body of the organization, and the applicant will comply with all contract requirements. I understand that the signature on this application does not constitute an award of funds. The final award of funds will be authorized and appropriated by City Council in the City of Laredo’s 2019-2020 Annual Fiscal Budget. *
MM
/
DD
/
YYYY
Name of Authorized Representative and Title *
Signature *
Please check one that applies *
Required
Historical Narrative (5 points) Please provide a brief description of your agency's history and background. Points may be awarded to entitle that have a proven record of successful performance. (Mission Statement & Background) Please upload file *
Required
Needs Statement (20 Points) One Page Explain why you are requesting funds from the City of Laredo Third Party Funding. How does your organization meet the needs of the Community? (Please upload) *
Required
List of Programs/Services provided (10 Points) Please list only services or programs that are the subject of the funding request. (Please upload) *
Required
Goals,Objectives and Measures (40 Points) For each of your programs (only for services or programs that are the subject of the funding request), please list goals your agency has set for the funding period and how it plans to achieve them. The objectives must be specific and measurable. Please describe the workload measures and how they are verified. (Please upload) *
Required
Agency Budget Description (10 points) ALL Revenues (Specific to the program/project for which funding is being requested.) (Please upload) Show current revenues and estimated 2019/2020 *
Required
CITY OF LAREDO FUNDING AS A PERCENTAGE OF TOTAL AGENCY BUDGET ______________% AGENCY’S FISCAL YEAR *
Agency Budget Description (10 points) ALL Expenses (Specific to the program/project for which funding is being requested.) (Please upload) *
Required
CITY OF LAREDO FUNDING AS A PERCENTAGE OF TOTAL AGENCY BUDGET ______________% AGENCY’S FISCAL YEAR *
Partnerships (5 points) (All Entities) *
Required
Please check and agree below to continue: *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service