2. 
4. 2023 PHILIP S. MILLER RESOURCE GRANT PROGRAM APPLICATION

   Due by 5 p.m., Aug. 1, 2022

6. ORGANIZATION:*
8. ADDRESS:*
10. CITY:*
11. STATE:*
12. ZIP:*
14. CONTACT PERSON:*
15. TITLE:
17. PHONE NUMBER:*
18. E-MAIL ADDRESS:*
20. Website of organization:
22. Executive Director/President:
23. Board of Directors:
25. Non-profit status:*

    1. 501(C)(3)
    2. 501(C)(19)
26. Amount requested:*
27. Provisions for the necessities of life:*

    1. Water
    2. Food

    1. Energy
    2. Shelter
29. Purpose of grant:*
31. Organization's goals/Mission Statement:*
33. How the organization will use the granted funds:*
35. Time table for implementation:*
37. Other organizations participating with this program:*
39. Strategies for sustained funding at the end of the grant period:*
41. Evaluation - Discuss expected results, how the organization defines and measures success, and how it will use and disseminate the project's results:*
43. Describe specific benefits to Town residents including number of residents served, if available:*
45. If the Town provides only partial funding, how will the organization fund the program/project?*
47. If previously awarded a Town grant, please include a summary of the program/project and evaluate the success:*
49. Attachments - Please attach all applicable documents as PDF. Other formats may not upload.
51. Program/project budget (See "Grants" page for Excel form. Save as PDF for upload.)*
52. Proof of non-profit status as PDF*
53. Most current YTD financials as PDF*
55. Most current audited financials and management letter, if available, as PDF
56. Current budget (including Revenues and Expenditures detailing percentage relation between anticipated administrative costs and project costs) as PDF*
58. Other as PDF:
59. Other as PDF:
60. Other as PDF:
62. Additional comments:
64. Please submit completed application and attachments, or print and deliver to: Town of Castle Rock - Finance Department, 100 N. Wilcox Street, Castle Rock, CO 80104
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit Submit and Print

* indicates a required field