Required
Entity receiving grant
Required
Type of entity (501c(3), etc)
Grant Point of Contact
Prefix
Required
First Name
Required
Last Name
Required
Address Line 1
Required
City
Required
State
Alabama
Alaska
America Samoa
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
D.C.
Delaware
Federated States of Micronesia
Florida
Foreign Correspondence
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Trust Territory
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Required
Zip
Required
Work Phone
Cell Phone
Required
Email
Grant Information
Required
Federal agency you are applying to
Required
Funding opportunity title
Required
Funding Opportunity Number (FON) (e.g.CNCS-GRANTS-071397-798)
Catalog of Federal Domestic Assistance (CFDA) number
Required
Project name
Required
Project address
Required
Amount of grant funding being requested
Required
Total cost of project
Required
Previous sources of funding (including federal, if any)
Required
Current sources of funding (including federal, if any)
Required
Briefly describe the project and a quick background/history of your organization
Required
Intended use of money, if funds are awarded to your organization
Required
Proof of community support (articles, public meetings, etc)
Required
Is a letter from a Member of Congress required?
Yes
No
Required
Grant application due date (mm/dd/yyyy)
Required
Date you need the letter by (mm/dd/yyyy)
Required
Agency funding decision date (mm/dd/yyyy)
Additional comments
Letter Recipient Information
Required
Title of the official the letter should be addressed to
Required
Name of the official the letter should be addressed to
Required
Address of recipient
Sample letter of support (upload or email to Patrick.hampton@mail.house.gov)
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