Orange County NC Website
Browse       Search
COVER PAGE <br /> Applicant Contact Information <br /> Applicant Organization's Legal Name: <br /> Applicant Organization's Physical Address: <br /> Applicant Organization's Mailing Address: <br /> Applicant Organization's Web Address: <br /> Executive Director(if applicable): <br /> Telephone Number: E-Mail: <br /> Tax ID Number: <br /> Funding Request Summary <br /> Please list all Fiscal Year 2021 Community Climate Action Grant funding requested for all projects you are proposing <br /> and the proposed use of funds (please list program name only).Applicants will be asked to provide more details on their <br /> proposed program budget in the Budget Worksheets attachment. <br /> Project Equipment Operations Personnel Total <br /> Ex. Youth Climate Leadership Project $10,000 $15,000 $5,000 $30,000 <br /> Totals <br /> Briefly explain your proposed use of funds(2-4 sentences <br /> To the best of my knowledge and belief all information and data in this application is true and current. <br /> Signature: <br /> Applicant's Authorized Signatory Date <br /> Page 6 of 17 <br />