FY27 Community Project Funding Request Form

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Please complete all sections of this Community Project Funding request form. All fields marked with an asterisk (*) are required.

Requesting Entity/Organization Information

Name of Requesting Entity/Organization:

Street Address

City/Town

State

ZIP Code

Country

Website of Requesting Entity/Organization:

Tax EIN for 501(c)(3) Non-Profits:

If applicable

Project/Program Information

Name of Project/Program to be funded:

Physical Location of the Project/Program:

Appropriations Bill:

Agency:

Bureau/Account:

Agency:

Bureau/Account:

Agency:

Bureau/Account:

Agency:

Bureau/Account:

Agency:

Bureau/Account:

Agency:

Bureau/Account:

Agency/Account:

Agency:

Bureau/Account:

Please provide a general description of the project:

What are the benefits of this project and why is it a priority?

Please explain why this project is a good use of taxpayer funds:

Can the recipient spend all funds within 12 months?

Yes

Is the project on the State's Intended Use Plan (IUP)?

Yes

Has the project received federal funds previously?

Yes

Project Timeline and Budget

Estimated Start Date:

Estimated End Date:

Amount Requested:

Enter dollar amount (e.g., 1500000 for $1.5 million)

Total Cost:

Enter dollar amount (e.g., 2000000 for $2 million)

Recipient Point of Contact

First Name

Middle

Last Name

Recipient Phone Number:

Recipient Email:

Supporting Documentation

Please attach letters demonstrating community support:

Upload PDF files only
Maximum 10 files.
2 MB limit.
Allowed types: pdf.

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