MCA Cultural Grant

"*" indicates required fields

Step 1 of 5 – MCA Cultural Grant Application

Organization Application Cover Page

Applicant Name*
(Legal Name of Not-For-Profit-Entity)
Type of Funding*
Check one type of funding. Additional checkbox will appear below this form after your choice.
Special Project – select one component below*

Not-for-Profit Designation

  • The applicant must document they are one of the following:
  • A public agency governed by a county, municipality, school district, institutions of higher education, or an agency of state government
  • A not-for-profit, tax-exempt Florida corporation incorporated or authorized as a not-for-profit corporation, in good standing, pursuant to Chapter 617, Florida Statute. (Some private schools may be determined to be not-for-profits under Chapter 623, Florida Statute.
  • Designated as a tax-exempt organization as defined in Section 501(c)3 of the Internal Revenue Code of 1954. Exemption must be issued in the name of the applicant organization.
  • Federally recognized Indian tribal governments
Not-For-Profit-Designation*
Accepted file types: jpg, gif, png, pdf, doc, docx, txt, rtf, html, odt, jpeg, Max. file size: 128 MB.
Please upload a copy of Certificate of Florida Not-for-Profit Status, or a copy of IRS determination letter for federal tax-exempt status as applicable.

Certification

Name of Authorizing Official:*
Date Signed:*

General Information

IDENTIFICATION

Applicant (legal name of organization as shown on IRS 501 (c)(3)*
Mailing Address*
Contact Person*
Date of Incorporation:*
Type of Organization*
Applicant's Fiscal Year Dates (Month/Day) – FROM:*
Applicant's Fiscal Year Dates (Month/Day) – TO:*
Has your organization ever received a grant from the Marion Cultural Alliance?*
Has your organization submitted a Final Report?*
Please Note – If a Final Report for your previous Grant has not been filed, your current application will not be accepted.

Project/Program Information

Start Date: (Month, Day, Year)*
End Date: (Month, Day, Year)*
In the space below, please provide the mission statement of your organization (or program mission, if applicable.)

Project/Program Summary

Describe your proposed project or program. Identify your goals and how you plan to achieve them. Be specific!

Anti-Discrimination Policy*
Our organization has an Anti-Discrimination Policy and abides by it.
Does your organization have a Cultural Equity Policy?*