Marion Cultural Alliance | MCA Relief & Recovery Fund Grant Application

Organization Information

Organization Name*

Organization Contact Person*

Brief description of the organization*

(250 words)

Upload document verifying Nonprofit status*

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, txt, rtf, html, odt, jpeg, Max. file size: 128 MB.

Please attach attach IRS Designation Letter.

Detail of Funding Request

What is your total budget?*

What is your estimated loss of income due to cancelled events?*

(please provide a dollar amount and a brief description of activities. 250 word limit)

What are the short term and long term implications for your organization and your employees and/or contracted artists?*

(250 word limit)

How will this funding provide relief and position you for recovery?*

(500 word limit)

Provide any additional information you would like MCA to know.*

(250 word limit)

Annual Budget*

Less than $100,000
$100,000-$300,000
$300,000-$500,000+

The Organization has an Endowment*

Yes
No

The Organization has reserves*

Yes
No

If yes, please indicate number of months of reserves:*

Did you apply for Round 1 of the Paycheck Protection Program Loan from the Small Business Administration?*

Yes
No

If yes, did you receive funds?*

Yes
No

If no, have you applied for PPP Round 2?*

Yes
No

If yes, did you received funds?*

Yes
No

Have you received any other COVID-19 Relief funds?*

Yes
No

If yes, please indicate source(s):*

Please provide a brief description of how the funds were used OR...

(250 words)

You may attach a document showing how the funds were expended.

Accepted file types: jpg, gif, png, pdf, doc, docx, txt, rtf, html, odt, jpeg, Max. file size: 128 MB.

Please note: Should the organization find the funds are no longer necessary or cannot be applied as indicated in the applications, the funds will be required to be returned to Marion Cultural Alliance.

CERTIFICATION

I certify that the information contained in this application, including all attachments and support materials is true and correct to the best of my knowledge and that I will abide by all legal, financial, and reporting requirements, such as matching funds and final reports for all grants received by the organization.

First Name, Last Name:*

Consent*

I agree that all information submitted is accurate.

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MCA Relief & Recovery Fund Grant Application

Organization Information

Detail of Funding Request

Please note: Should the organization find the funds are no longer necessary or cannot be applied as indicated in the applications, the funds will be required to be returned to Marion Cultural Alliance.

CERTIFICATION

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