RDFC Online Grant Application

Form Title

RDFC Online Grant Application Form

Project Information

Project Title

Recipient First Name

Recipient Last Name

Recipient Contact

Recipient's Mailing Address

City

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Verginia Wisconsin Wyoming

Zip Code

Recipient Phone Number

Recipient Email

Project Location

Total Project Cost $4 other funds to $1 RDFC funds

Request from RDFC max. $3,000 / min $500

Recipient Tax ID Number

Which of the below best fits your project? (select one)

projectType

Community-owned business or facility (i.e. ambulance, hospital, fire district, recreation, community center, etc.)

Community-based project (i.e. service group/club: youth/school programs, etc.)

How will the grant funds be used? Funds are to be used for community betterment and/or economic development projects (i.e. café, grocery store, motel; ambulance services, fire districts, recreation; school/youth projects, etc.) Please note that RDFC does not provide funds for medical fundraisers or general operating costs.

Funding Sources

Local Incentive Funds

State Funds

Federal Funds

City

County

RDFC Member Co-op

Bank

RDFC Request

Other Please list below

Total Must equal total project costs listed

Consent for storing submitted data

Yes, I give permission to store and process my data

ReCaptcha