Mecklenburg County
Community Service Grant
Fiscal Year 2014 - 2015


Instructions
 
The FY15 Community Service Grant application is now available anytime online. Please complete all the questions on all FOUR tabs on the submission form. The application must be completed in one sitting. Once you begin entering information, you will not be able to save and complete the application at a later time.  An automatic confirmation email will be sent to the valid email address provided in the application, once it has been submitted.
Please COMPLETE the four tabs FIRST and SUBMIT. THEN upload the following support documentation and clicking on the Submit button again.

Note: Failure to disclose all requested information will automatically disqualify an organization from funding consideration. Mecklenburg County reserves the right to request additional information during the proposal review process.
 
* Audited Financial Statements from the most recent year:
* Copy of IRS letter certifying non-profit classification:
* Workforce Representation Documentation - Documentation supporting agency's efforts to achieve and/or promote a diversified workforce. Documentation may include, but is not limited to, diversity statement, initiative and/or management plan:
* Copies of Articles of Incorporation and Bylaws (if applicable) - If previously submitted, please do not resubmit unless changes have occurred:
* Salary Disclosure (All positions):
Please contact 704-432-3062 or email grants@MecklenburgCountyNC.gov with questions.

Internal Use Only
Proposal Cover SheetService SummaryPerformance SummaryBudget Summary
Organization:   Service Name:  
Federal ID: Number of years with 501(c)(3) status verification:    
TOTAL COUNTY FUNDS REQUESTED FOR FY15:     Year:
Director:
Last Name:   First Name:  
Address:  
City:          State:           Zip Code:    
Phone Number:   Fax:
Email:  
Primary Contact (if different from director):
Last Name:   First Name:  
Address:  
City:          State:           Zip Code:    
Phone Number:   Fax:
Email: