Orange County NC Website
Browse       Search
SUBMISSION CHECKLIST <br /> Primary Applicant Organization <br /> Project Name(s) <br /> Section Subsection <br /> Cover Page ❑ Applicant and Collaborator/Partner Contact Information <br /> ❑ Funding Requests <br /> ❑ Signed Application Cover Page <br /> ❑ Signed Disclosure of Conflicts of Interest and Clause <br /> Applicant Information ❑ Applicant organization's Date of Incorporation(if applicable) <br /> ❑ Applicant organization's Purpose/Mission (if applicable) <br /> ❑ Living Wage <br /> ❑ Schedule of Positions(if applicable) <br /> Project Information ❑ Project Name <br /> ❑ Project Description <br /> ❑ Strategic Objective <br /> ❑ Target Population <br /> ❑ Performance Indicators <br /> ❑ Project Budget Summary <br /> Attachments ❑Applicant Organization's Annual Budget and Proposed Project Budget(Use <br /> template provided) <br /> (A description of these items is <br /> available on page 15: "Description ❑Applicable Financial Records to prove eligibility: IRS Federal Form 990 or <br /> of Required Attachments."Please Applicant Organization's Tax Returns from 2019 <br /> contact us if it will not be possible <br /> to provide any of these required ❑ Applicable Financial Records to prove eligibility of collaborator/partner(if <br /> attachments at the time of they are receiving project funds): IRS Federal Form 990 or Tax Returns from <br /> application: 2019 <br /> bbouma(a oran2ecountync.gov) <br /> ❑ List of members of organization's Governing Board(if Board exists) <br /> ❑ Solid Waste Program Fee(SWPF)Verification (for commercial property <br /> owners and renters) <br /> ❑ Certificate of Insurance <br /> Page 5 of 17 <br />