Grant Intake Form

Which term best describes you?

Local government official or staff member Individual

We do not have any grant opportunities for individuals.

Name*

First Name

Last Name

Email*

Phone*

Community*

Please provide the name of the community you represent

Type of Grant*

Land and Water Conservation Fund Recreational Trails Program Community Development Block Grant State Homeland Security Grant

Other:

KIPDA does not assist Jefferson County-Louisville Metro with CDBG because Jefferson County is an entitlement community.

What national objective does this project meet?*

Benefiting low-and moderate-income persons Preventing or eliminating slums or blight Meeting urgent community development needs.

Are you the primary applicant?*

Yes No

Is there a sub-applicant?*

Yes No

Who is the sub-applicant?*

Project Location*

What is the rough location of the project?

Project Purpose*

What is the purpose of the project? What does it hope to achieve?

Budget Estimate*

Please provide total cost - including the match and grant

Do you have a professional cost estimate?*

Yes No

Please attach your professional cost estimate.*

No File Chosen

File uploads may not work on some mobile devices.

Do you have a SAM (System for Awards Management) account?*

Yes No

What is your SAM account number?*

How will you provide the match? Match requirements: CDBG: 50% local match; LWCF: 50% local match; Recreational Trails: 20% local match*

Will your community provide the match? Will another organization help provide the match? Will you use a loan?

Additional details about the proposed project? (Optional)