Community Grant Application

Complete this form if you are applying for assistance with a Community Project or Event.

Date by which funds are needed *

$ Amount Requested *

Type of Request *

One-time

Ongoing

For how long will funds be needed? *

Other Resources

The Arc of Tillamook County has limited resources and prefers to be the last source of support. Tell us about other sources of support already approached and the outcome: *

Describe the plan to meet this need in the future *

Administration of Funds

Please describe in detail how the project will benefit IDD individuals *

Name of Individual/party that will administer funding/assistance and oversight to assure funds are used appropriately *

How will funding support be administered? *

Requested By

Contact information for person submitting this request

Full Name *

Email Address *

Phone Number *

SPAM Prevention

Other Resources

Administration of Funds

Requested By

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