Orange County NC Website
Browse       Search
P a g e 1 o f 1 4 <br />Orange County Community Climate Action Grant - Application 2023-24 <br />SUBMISSION CHECKLIST <br />Primary Applicant Organization: Club Nova Community Inc. <br /> <br />Project Name: Club Nova's Climate Action Plan – Big Impact Small Footprint <br /> <br />Section Subsection <br /> <br />Cover Page <br />Applicant and Collaborator/Partner Contact Information <br />Funding Request Summary <br />Signed Application Cover Page <br /> <br />Disclosure <br />Signed Disclosure of Conflicts of Interest and Clause <br /> <br />Applicant Organization and <br />Collaborator Information <br /> <br />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 /> <br />Project Information <br /> <br />Project Name <br />Project Description and Climate Plan Alignment <br />Collaborator Information (if applicable) <br />Criteria-Specific Sections 1-7 <br /> <br />Attachments <br /> <br />(A description of these items is <br />available on page 13: “Description <br />of Required Attachments.” Please <br />contact us if it will not be <br />possible to provide any of these <br />required attachments at the time <br />of application: <br />aeckberg@orangecountync.gov <br /> <br />Applicant Organization’s Annual Budget and Proposed Project Budget (Use <br />template provided) <br /> <br />Applicable Financial Records to prove eligibility: IRS Federal Form 990 or <br />Applicant Organization’s Tax Returns from 2022 <br /> <br />Applicable Financial Records to prove eligibility of collaborator/partner (if <br />they are receiving project funds): IRS Federal Form 990 or Tax Returns from <br />2022 <br /> <br />List of members of organization’s Governing Board (if Board exists) <br />Certificate of Insurance <br />DocuSign Envelope ID: A9B18E2F-7835-4086-B808-E21D1F44AE18