GRANT APP | DCABC

Application Title/Project Name

Organization

Phone

Website

EIN*

Amount requested*

Contact Name

Position/Title in Organization

Phone

Executive Director Name

Executive Director Email

Executive Director Phone

Secondary Contact

Position/Title in Organization

Phone

1. Provide a brief background of your organization and a history of its programs.

2. Provide your Mission Statement

3. Please enter the amount of your organization’s overall operating budget.

4. If you are applying for funding for a specific project or program, enter the following information:

a. Provide a detailed description of the program/project for which your organization seeks funding. Be sure to identify the needs or specific problems that will be addressed - include the population serve, and the goals of the program.

b. Describe the proposed activities of the project., including a timeline

c. Describe a plan for measuring your programs success. The plan should indicate the anticipated changes or results if the program objectives are achieved.

5. If you are seeking funding for operating expenses, enter the following information:

a. Provide detail as to how the grant will allow the organization to continue to support or expand current programs. Include the population that your organization serves.

b. Describe the anticipated use of the funds, including a timeline.

c. Describe a plan for measuring your organizations success.

6. Please acknowledge that you have read and understand the following: The Durham County Alcoholic Beverage Control Board, in its sole discretion, retains oversight authority of the Grant Program, including but not limited to the following remedies: a. Upon a finding of any material misrepresentation in the Grant Application process or upon a finding of mismanagement of grant funds after an award has been granted, the Durham County Alcoholic Beverage Control Board reserves the right to terminate any awarded grant and seek reimbursement of any funds awarded, and/or to withhold any additional funds that might otherwise be due under Section V; b. The Durham County Alcoholic Beverage Control Board may request a site visit from any grantee in order to allow the Board to gauge the proper management and effectiveness of the grantee program. If, in its discretion, the Durham County Alcoholic Beverage Control Board finds that a grantee refuses or is non-cooperative in facilitating a site visit, the Durham County Alcoholic Beverage Control Board reserves the right to terminate any awarded grant and seek reimbursement of any funds awarded, and/or to withhold any additional funds that might otherwise be due under Section V; c. Upon a finding of any material misrepresentation in the Grant Application process or upon a finding of mismanagement of grant funds after an award has been granted, or if the grantee refuses to cooperate with a requested site visit, neither the applicant nor its principals shall be eligible to apply or participate in the Grant Program for one calendar year.

I acknowledge and understand.

Budget Narrative

Submission date

Thanks for submitting!

CITY OF

DURHAM