Applications may now be submitted from May 1, 2019 until June 30, 2019, and funds must be spent and required documentation returned by July 28, 2020. Grants are paid on a reimbursement basis after required documentation is received.

NOTE: A copy of IRS Letter of Determination for 501c3 verification of TIN# (Tax ID Number) is required.

APPLICATION REQUEST MUST BE approved by the Mid-South RC&D Council Board of Directors prior to start of project/program. Funds approved are reimbursed when council is provided all paid receipts, cancelled checks, and final reports. A Cooperative Agreement must be signed upon approval. Photos before and after are required.

The Grant Cycle is Currently OPEN

Please be sure to fill out the form completely. We suggest you develop your budget and answers to the questions separately and then fill out the form.

Alternately, you can register as a user on our website by clicking this link. If you do this, you can save your application and complete it later. Registering is a two step process. Once you’ve entered a username and email address, hit submit and then follow the instructions sent to you via email. Be sure to check your junk email folder if you don’t see an email from us right away.

You will be asked to fill in the legislative districts for your state senator and state representative below. You can find that information by visiting this website and entering your address (or the address of the project) in the search box.

Grant Application 2020

If you are human, leave this field blank.

Choose Type of Grant

Education

General

Name of Organization *

Sponsor Tax ID No *

Type of Entity * Nonprofit Government

Submit a copy of your EIN Letter of Determination (if you are a nonprofit) or your 4076C Government Entity Letter (if you are a government entity) Failure to include this attachment may result in disqualifying your application.

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Drop a file here or click to upload Choose File

Maximum upload size: 52.43MB

Mailing Address of Organization *

Mailing Address of Organization

Mailing Address of Organization

Mailing Address of Organization

City

City

State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State

Zip Code

Zip Code

Physical Address of Organization (if different than above)

Physical Address of Organization (if different than above)

Physical Address of Organization (if different than above)

Physical Address of Organization (if different than above)

City

City

State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Responsible Party *

Title of Responsible Party

Contact Person, if different than responsible party

Contact Phone Number *

Contact Email (ONLY ONE EMAIL ADDRESS) *

Please fill in the legislative districts for your state senator and state representative below. You can find that information by visiting this website and entering your address (or the address of the project) in the search box.

Representative District #

Senate District #

Grant Amount Requested. Minimum $2000 *

Total Budget for Project/Program

Project Title *

Date Project/Program will begin

County Project is located in Autauga Bullock Butler Elmore Lee Lowndes Macon Montgomery Multi County

Physical Address of Project (Be as specific as possible)

Physical Address of Project (Be as specific as possible)

Physical Address of Project (Be as specific as possible)

Physical Address of Project (Be as specific as possible)

City

City

State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State

Zip Code

Zip Code

Please summarize the mission and activities of your organization.

Explain your proposal and why your organization is requesting this grant.

Outcomes you hope to achieve.

How you will spend the funds if a grant is approved by council board.

NON-REIMBURSABLE ITEMS: SALARY, RENT, FOOD, APPAREL, TRAVEL, MILEAGE
The Board reserves the right to reimburse items at their own discretion.

What MidSouth Goal does your project address? Promotes Disaster Awareness Provides School Security Promotes Natural Resources Education Provides Educational Programs (example: Water Festivals) ($2000 limit) Meets Local Unmet Need Other What MidSouth Goal does your project address?

Project Budget

Budget Item (s)

Cost of Item (s)

$ Requested from RC&D

Budget Item (s)

Cost of Item (s)

$ Requested from RC&D

Budget Item (s)

Cost of Item (s)

Amount Requested from RC&D

Budget Item (s)

Cost of Item (s)

Amount Requested from RC&D

Budget Item (s)

Cost of Item (s)

Amount Requested from RC&D

Budget Item (s)

Cost of Item (s)

Amount Requested from RC&D

Project Begins

Project Ends --- Project must be completed by July 28, 2020

Grant Cycle: Open Enrollment Period: May 1, 2019-June 30, 2019.

Project approval and grant-training from Mid-South RC&D Council is required PRIOR to start of project/program.

A Cooperative Agreement must be signed upon approval. Photos before and after are required. Grants are paid on a reimbursement basis after all paid receipts, cancelled checks, and all required documentation is provided to the council by the grantee. Funds must be spent and documentation returned to Mid-South RCD by July 28, 2020.

NOTE: A copy of IRS Letter of Determination for 501c3 verification of TIN# (Tax ID Number) is required. Alternately, please include your 4076C Letter if you are a Government entity.

APPLICATION REQUEST MUST BE approved by the Mid-South RC&D Council Board of Directors prior to start of project/program.

All grantees agree to give Mid-South RC&D Council credit on all press releases and publications.

Add any additional documentation you would like to include (up to 10 total files)

Drop a file here or click to upload Choose File

Maximum upload size: 52.43MB

Responsible Party Signature *

Title *

All programs and services of RC&D are offered on a non-discriminatory basis, without regards to race color, national origin, sex, religion, age, disability, political belief, sexual orientation, or marital or family status (DOC revised 2017)

Date of Application