Wufoo

Organization Information
Project/Event Title *
Name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number * ### - ### - ####
Federal I.D. number of the organization *
State whether the applicant is controlled, supervised, operated by or in connection with another organization, or if it is the outgrowth of another organization. *
History and description of the program and goals. *
Names and addresses of the Board of Directors, board members associated with/employed by the organization and documentation that the board authorized the application *
Names, titles, duties and qualifications of volunteers and/or staff responsible for project implementation *
A copy of the Treasury letter certifying tax-exempt status as an organization that is not a private foundation and a copy of the organization’s most recent Form 990 – Income Tax Return of Organization Exempt for Income Tax *
Project Details
Provide project/event dates, times, location, duration and a complete statement of the purpose of the grant *
Amount requested *
Project Description & Background
Is the request for a one-time special project or new activity, or operating support for an existing program or event? *
What are the short and long-term goals of the project? Coordination – Who is taking the lead on this project? What other organizations are working on the project/event? How will coordination be accomplished? Evaluation – By what criteria will the success or failure of the project/event be measured? *
Budget/Financials
What is the total cost of the project? Specifically, how will the money be used? When will the money be needed? Support – What other sources of financial support are committed or are being sought for the project? Organizations and amounts should be listed. Future Support – Will the project continue beyond the funding period? If so, how will it be supported? If the program is to be sustained, provide plans for permanent support after the City’s funding has been terminated. Maintenance Costs – What are the projections for short-term and long-terms costs to maintain this project? *
Visitors/Overnight Stays in Dublin Hotels
Attendance – What is the expected spectator attendance? What is the expected participant attendance? What are the attendance records for the last two years? Overnight Visitors – How many overnight visitors are estimated? What is the basis for estimates? How will you promote Dublin hotels? Please provide number of overnight stays from last year’s and/or previous year’s events with the input of the Dublin Convention and Visitors Bureau – 614.792.7666. *
Community Impact/Promotion/Outreach
How will the Dublin community benefit from your project or event? How will your organization benefit from your project or event? How will you promote/recognize the City of Dublin’s support? Are there ceremonial and/or other opportunities or engagement for the City of Dublin and/or the Dublin community during your event or project? How will the project/event be promoted within Dublin and beyond Dublin? *
City Services/Support
City Services – What City of Dublin services are required to implement the project/event? What is the cost of these services? Have these services been coordinated with the Division of Event Administration? Has the organization applied for an Event Permit? *
Optional Additional Information
Letters of support, articles or data relating to the project may be uploaded to your application
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Wufoo

Organization Information

Project Details

Project Description & Background

Budget/Financials

Visitors/Overnight Stays in Dublin Hotels

Community Impact/Promotion/Outreach

City Services/Support

Optional Additional Information