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GROUP 1 – COMMUNITY DEVELOPMENT INITIATIVES PROJECTS

Please complete form in it's entirety.

Legal Name of Applicant

Operating name (if different than business name):

Address (Include PO Box)

Contact Person

Telephone Number

Email Address

Type of Organization (e.g. main product or service)

Brief history of the organization/association (e.g. when established, by whom)

Brief description of the organization (number of staff and/or membership), its activities, key markets, products/services, and other characteristics.

Identify officers and key employees, indicating their role within the organization.

Provide a full description of the Project.

Specify objectives to be achieved by the Project.

Identify key Work Plan activities and project timelines.

Identify all contributing partners to this project and their contributions.

Provide a breakdown of project costs and financing. (ie: CDAF request, Partner Contribution, Inkind Contribution, Total costs)

Identify anticipated economic benefits of the Project including how the Project promotes economic growth, diversification and/or job creation in Marathon.

The undersigned certifies that, to the best of his or her knowledge and belief, all information contained in this application and any accompanying statements and documents is true, complete and correct. The undersigned agrees to notify the Town of Marathon of any changes in this information. By virtue of your signature you acknowledge that the decision of the Granting Committee is final and binding.

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