Application for Neighborhood Organizations

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Mayor’s Matching Grant Application for
Neighborhood Organizations
Please complete the following Application Form, answering all questions completely and
providing requested supporting documentation and attachments. Incomplete applications,
including all required attachments and documentation, will not be considered.
Applicant Information
Neighborhood organization’s legal name
DBA
Legal Address
Mailing Address
President Name
Email
Telephone
Project Leader
Telephone
Email
Website
TIN#
What year was the neighborhood organization established?
How many homes are in the neighborhood organization?
Is the neighborhood organization mandatory, which requires all
Yes
owners to be members and pay dues?
If yes, please submit the current and previous year budgets with your application.
Alternate Project Leader Information
Alternate Project Leader
Telephone
Email
Project Description
1. Name of Proposed Project
2. Amount of City funds requested
$
(Grant funds may be requested in increments of $500)
No
3. Describe the proposed project or program, including the identified need that the program will address; how
neighborhood residents were involved in selecting and planning the project; program/project timeline;
volunteer recruitment strategy and partnerships with other organizations or businesses to provide the program.
Please be specific. (Not to exceed 1 page)
4. Where will project activities take place? Please provide specific addresses for location(s). For physical
improvement projects, please include 2 photos of the current conditions of the project site.
5. How many participants do you anticipate will participate in this project?
Adults:
Children/Youth:
NEIGHBORHOOD COMMUNITY IMPACT
6. What is the intended benefit of the project? Why is it of importance to the neighborhood? (Do not exceed ½
page.)
PHYSICAL IMPROVEMENT PROJECTS
This section is to be completed only if the project is a physical improvement project.
7. What type of land is the proposed physical improvement project to be constructed on?
Public Right of Way
Common Area owned by the neighborhood organization
Note: Physical improvement projects on private property are not eligible for funding.
Neighborhood Sign Projects:
8. If you are applying to implement a neighborhood sign project, the Project Leader and Neighborhood
Organization President must sign the following statement:
Our neighborhood organization will comply with the City Sign Policy as outlined in
the guidelines and eligibility for the City of Orlando Mayor’s Matching Grant for
neighborhood organizations.
Project Leader Signature
Neighborhood Organization President Signature
9. Please provide a detailed description and schedule of how the neighborhood organization will fund and
manage the ongoing maintenance of the physical improvement project.
10. Attach a preliminary site plan drawing of the exact site location(s).
Did a representative from the neighborhood organization attend an application workshop (required)?
Yes
No
If so, what date:
Indicate the name and contact information of the individual who completed this application.
Name
Phone Number
Email Address
5. Signature of the neighborhood organization President who verifies the information contained in the
application is accurate and correct and confirms the organization’s application for the Mayor’s Matching Grant.
Neighborhood Organization President
(Type or Print)
Neighborhood Organization President
(Signature)
Date
MAYOR’S MATCHING GRANT PROJECT TEAM
Neighborhood Organization:
List at least seven neighborhood organization members who will meet at least quarterly to serve as the neighborhood’s Mayor’s Matching Grant Project Team.
PRINT NAME AND
PROVIDE SIGNATURE
PRINT NAME
ADDRESS
TELEPHONE
NUMBER
E-MAIL ADDRESS
ROLE
Project
Leader
SIGNATURE
PRINT NAME
Alternate
Project Leader
SIGNATURE
PRINT NAME
Reports
Coordinator
SIGNATURE
PRINT NAME
Partner and
Volunteer
Coordinator
SIGNATURE
PRINT NAME
Historian
SIGNATURE
PRINT NAME
Additional
Team Member
SIGNATURE
PRINT NAME
SIGNATURE
Additional
Team Member
Application Checklist
Instructions: Review the following items to ensure required documents are attached to the application and the
application has been thoroughly completed. Incomplete applications will be returned to the applicant.
Is a completed W-9 form for the neighborhood organization attached? (Visit
irs.gov/pub/irs-pdf/fw9.pdf for a copy of the form)
Yes
No
Is application signed by the proper persons to approve application?
Yes
No
Are all application questions answered thoroughly and completely?
Yes
No
Is a site plan drawing attached (if applicable)?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Do all members of the Project Team reside in the neighborhood where the project will
occur?
Is a Match Contribution Worksheet Completed, documenting all volunteer, in-kind and
cash contributions to the program/project?
Are all Letters of Intent forms completed and attached for in-kind and cash
contributions?
Is a Proposed Budget completed and attached, including a Budget Narrative of
expenses?
Do all project expenses that exceed $250 per unit cost include at least three estimates
from established vendors?
Do the minutes from the neighborhood organization meeting reflect all three discussion
items noted in application guidelines (including approval of neighborhood
identification, signs, if applicable)? Are they notarized and attached to the application?
If you are a mandatory organization, did you include a copy of the current and previous
years’ budget with the application?
Is the neighborhood organization registered with the City of Orlando Office of
Communications and Neighborhood Relations?
Did a representative from the neighborhood organization attend an Application
Workshop?
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