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Step One

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To complete this application, you will need full contact information for your organization.
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Which grant are you reporting on?*
1. Community & Economic Development Grant
2. Emergency Preparedness Matching
3. Private Nonprofit Social Services (Due June 15, 2024)
Agency Name*
Email Address*
Mailing Address*
City*
State*
Zip Code*
Phone Number*
Fax Number
Preferred Agency Contact Person*
Title*
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FOR ECOMOMIC DEVELOPMENT GRANT ONLY: The percentage completed of the identified request by grant ending date:
Please describe the project or program activities.
Please describe the results and impacts of the above project or program activities.*
Please describe any milestones that occurred in the course of this project or program and when they occurred.*
Please describe any lessons learned.*
Please describe any future plans related to sustaining this program or project.*
Optional: Please add any additional narrative here.
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Please upload financial statements related to the grant expenditures and any match.*
Please upload any photos of the posted sign or copy of any related advertisements of publications as required in the Award Letter.*
Electronic Signature Agreement*
I hereby affirm that all the stated information provided by me is to the Lincoln County Grant Review Committee is true, correct and without forgery. By Clicking "Agree," I consent to submitting my signature in electronic form as well as to having my picture taken and used for any purpose deemed necessary to promote the grant program.
1. I agree.
Electronic Signature
All submissions are final and cannot be revised once submitted

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