Workflows

Community Development Fund-County Exec’s Contingency Fund

Requests are reviewed once a month. If your submission is received after requests have been reviewed, it will be included in the submissions for the following month. Please note, a decision regarding your request could take up to 60 days.

** Contact CJ Bell with application questions: 302-395-5122 or christopher.bell@newcastlede.gov

Name of Organization

Organization 501c3

Yes

No

EIN number

Organization’s Point of Contact First Name

Organization’s Point of Contact Last Name

Organization’s Point of Contact Phone Number

Organization’s Point of Contact Email Address

Amount Requested

Intended Use of Funds:

Projected number of people this requested grant will serve:

Fiscal dates of your organization:

List previous NCC grants (dates and usage) If Applicable, list dates and usage here:

Other funding sources for this request: If Applicable enter funding sources here:

Organization’s Mission Statement:

Are there any New Castle County employees associated with your organization?

Yes

No

Does your organization have a non-discrimination policy?

Yes

No

If yes, please give the name of the policy in use.

If no, please explain why not?

Upload your organizations most recent w9 tax form

I certify that all the above information I provided on and in connection with this form is true and correct to the best of my knowledge. I also understand that any false statements or deliberate omissions on this form may subject me to disqualification for consideration of future funding.

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Community Development Fund