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Home Grants Online Submission Form Found Here Monongalia County Commission Sean P. Sikora, PresidentJeffrey L. Arnett, CommissionerThomas C. Bloom, Commissioner 243 High Street, Room 202Morgantown, West Virginia 26505304-291-7257 TO: Agencies and Organizations Requesting FundingFROM: Rennetta McClure, County AdministratorSUBJECT: Funding Application availabilityDATE: January 22, 2021The Monongalia County Commission is pleased to announce that the 2021-2022 County Grant Funding application is now available. The application is accessible by visiting: https://www.monongaliacounty.gov/commission/grants/OnlineGrantSubmission.phpYou will need to submit an application by using the Online Submission Form and upload the required documents directly to the website. Once all required documentation is received, our office will send you a confirmation email. If you are unable to access the Online Submission Form, you will need to contact our office and request a paper application.The following information is REQUIRED to be eligible for funding consideration:- Funding application- Certification of compliance regarding lobbying activities- Resolution to be passed by your agency board members- Narrative of Financial Status PLEASE NOTE: Sufficient documentation/detail needs to be provided to allow the Commission to determine the financial status of your organization (Examples of relevant documents include but are not limited to the following: Statement of Income and Expenditures, Balance Sheet, Recent Audit Report OR Financial Statement)- List of officers, board members and their titles and contact information Please keep the following items in mind:- All forms must be submitted on or before 4:00 p.m. Friday, February 26, 2021.- Grant funds should be restricted for a specific project – not for general operating purposes. - Funding decisions are made based on the quality and completeness of your application. Previous grant awards to your organization are not a guarantee of future funding.If you have any questions, please contact the County Commission Office at info@moncommission.com or 304-291-7257. Monongalia County Commission Grant Funding Application Fiscal Year 2021-2022 Name of Organization Requesting Grant Funding:Name of OrganizationAddress:AddressAddress Line 2:Address Line 2City:CityState or Province:State or ProvinceZip or Postal Code:Zip or Postal Code Organization Phone Number:Phone NumberOrganization Email Address:Organization EmailCEO/President/Executive Director:CEO/President/Executive Director NameFinancial ContactFinancial Contact PersonFinancial Contact Phone Number:Phone NumberFinancial Contact Email:Financial Contact EmailName, Address, Phone Number and Email of person completing this Application:Name:NameAddress:AddressAddress Line 2:Address Line 2City:CityState or Province:State or ProvinceZip or Postal Code:Zip or Postal CodePhone Number:PhoneEmail Address:Email Address Amount of grant funding requested: Requested Amount Name of Project:Name of Project Please provide a brief profile of the organization:Brief Profile of Organization State the reason for the request highlighting the project and the benefits to the citizens of Monongalia County:State ReasonHow many individuals are expected to benefit from the project?AmountIf other organizations are collaborating on the project, provide the name(s) of organization(s) and a brief description of the collaboration. *If No Collaboration, Please Type "None".Collaborating OrganizationsDo you envision this project as a continuing, long term project with future financial needs? Yes No If yes, how do you plan to fund in the future?How do you plan to fund in the future?How many volunteers will contribute time to the project?Amount Anticipated date of project completion:Anticipated Comp DateAnticipated budget of project (include funds received or requested from other sources)Construction - ConstructionMaterials/Supplies - Material/SuppliesOther - Other Other DetailTotal Cost - Total Cost Have you requested and/or received funding from another organizaton or foundation for the project? Yes No If Yes, Please List:If No, type None in BoxOther Sources Does your Organization have an annual audit? Yes No If yes, Please upload here:Is your organization designated by the IRS as a NON-PROFIT? Yes No If Yes, what date did you receive IRS approval? (MM/DD/YYYY) and Upload IRS Determination LetterIf No, type None in boxApproval DateIRS Determination Letter: What are the expected outcomes from the project and how will they be measured?Outcome #1What is the target population for the project?AmountWhat geographic area will this project serve?Geographic Area Date Submitted: (MM/DD/YYYY)Date Additional Documents and CommentsFile Upload for Additional Documents, Please refer to the Cover Letter for Additional Documents needed for Grant Submission.Individual Documents:Statement of Income and Expenditures (.pdf)Balance Sheet (Narrative of Financial Status)(.pdf) NOTE! To clear a selected file: Click the Choose File(s) button and Click Cancel Income and Expenditures Financial Narrative List of Officers Additional Documents - Optional Questions and Comments:Questions and Comments ResolutionThe officers of the Name of Organization met on Date(MM/DD/YYYY) with a quorum present and passed the following resolution:BE IT RESOLVED thatName of Organization is requesting grant funding from Monongalia County Commission in the amount of $ Funding Amount to be used for PurposeWe, the Name of Organization, are submitting a completed application and agree to comply with all requirements as set forth by the Monongalia County Commission.President or Authorized Representative - Electronic SignatureDate - Date (MM/DD/YYYY) Statement Verifying Compliance for use of Grant FundsI/We hereby certify that any grant funds appropriated by the Monongalia County Commission to Name of Organization will NOT be used directly or indirectly in connection with any candidate, political event or lobbying activities.Signature- Electronic SignatureTitle- TitleDate- Date (MM/DD/YYYY)Please double check each textbox before hitting SUBMIT!