ANC 3/4G Grant Application
ANC 3/4G is pleased to be able to award community grants in accordance with D.C. Code, Section 1-309.13(m) authorizing ANC’s to award grants to organizations for public purposes. The ANC is committed to using its budget allotment to provide such grants consistent with its other obligations and in accordance with guidelines and procedures outlined on ANC 3/4G's website. Those guidelines and procedures can be accessed here: http://www.anc3g.org/about/community-grants/.
Amount Requested:
Your answer
Name of Applicant:
Your answer
Address of Applicant:
Your answer
Telephone:
Your answer
Email Address:
Your answer
Web Site (if applicable):
Your answer
Which community priorities are applicable?
Required
Is the applicant a 501(c)(3) non-profit organization?
If not a 501(c)(3) organization, please describe the legal structure of the organization.
Your answer
Has the applicant applied for an ANC 3/4G grant before?
If the applicant applied for a grant before, when did the applicant apply and for how much?
Your answer
Does the applicant currently receive funding from the DC government?
If the applicant receives funding from the DC government, describe the purpose of the funding, the amount of the funding, and which agency is responsible for funding the applicant.
Your answer
Is this project/activity for which the applicant seeks funding currently supported by other donors, grantors, matching funds, etc.?
If yes, please provide a list of names and amounts for no more than 5 donors.
Your answer
If no, please explain any plans to secure support
Your answer
Who is the person who will be responsible for providing a follow-up report within 60 days of the grant?
Your answer
In the space provided, provide a statement of the general purpose of the grant, a description of what the grant funds will be used for, a timeline for the project, and itemized quantity and/or cost list.
Your answer
I affirm that the information provided in this Grant Application is accurate and true to the best of his/her knowledge.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms