Willow Area Community Organization
Revenue Sharing Grant Application – FY 2015
Application Deadline: July 15, 2015
Please mail completed application to: WACO, Box 1027, Willow, AK 99688
Projects must be for Willow public & community benefit
Name of project__________________________________________________
Sponsoring resident or organization:__________________________________
Contact person:__________________________________________________
Address:________________________________________________________
Phone:__________________________ Email:__________________________
1. Describe project include project location with map. (Provide information that
will help people evaluate the project.)
2. Project Budget – answer the following questions:
A. What is the total cost of the project?
B. Please give a detailed, itemized list of all projected project costs.
C. What amount are you requesting from this grant?
D. What funds from other sources are pending, in-hand, or have you applied
for?
E. Is your project still possible if you receive less than the requested amount?
3. Public & Community Benefit – describe the public and community benefit
this project will provide.
4. Community Support – Explain the support your project has in the
community. Include how you plan to partner or collaborate with local
resources to maximize benefit.
_____________________________
Organization (if applicable)
______________________________
Representative (type or print)
_____________________________
Date
______________________________
Signature