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2. Use this form to report grant's to the city finance department for auditing purposes.
4. Important Requirement! All documents to the grant application must be uploaded with this form, additional documents and award notification should be uploaded as soon as they become available. This includes screenshots of webpages and copies of emails pertaining to the grant. Every grant application must have appropriate back up documentation.
6. Employee Contact Information
8. First Name*
9. Last Name*
11. Phone Number*
12. Email Address*
14. City Department:*
16. Grantor Contact Infomation
18. Grantor Agency / Organization*
20. Grantor Address*
22. Grantor Contact Person
24. First Name
25. Last Name
27. Phone Number
28. Email Address
30. Web Address
32. Date Grant was Submitted*
33. Department Head Approval*
35. Purpose or Use of Requested Funds*
37. Are there reporting requirements if the grant is awarded?
39. When should we receive award decision notification?
41. Please attach related grant documents
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit Submit and Print

* indicates a required field