Clackamas Cultural Coalition

SPECIAL OPPORTUNITY GRANT ONLINE APPLICATION

Overview

The Clackamas County Cultural Coalition Special Opportunity Grant is made possible by funding from the Oregon Cultural Trust. It is intended to provide support outside of the annual project grant cycle for unanticipated events, opportunities or unforeseen needs. Any County-based individual or organization with a need related to arts, heritage or humanities AND their need aligns with at least one of the Coalition's Funding Priorities may apply for Special Opportunity Grant assistance.

Grant awards will not exceed $750 per applicant.

APPLICATION

Date of Application

APPLICANT DETAILS

Applicant Name: Title (if representing an organization):

Organization or Affiliation (if Applicable):

Date of Need or Opportunity:

Start date End Date:

Mailing Address:

City: State: OR Zip:

Physical Address if Different from Mailing Address:

City: State: OR Zip:

Contact Phone: Ext

Cell Phone

Email Address:

Website:

This Application is for (pick one)

If Other --- Describe:

Grant Details

Type of Need:

Type 1 - Unexpected Opportunity or Event (i.e, a rare, unexpected and unplanned opportunity or event arises.) OR,

Type 2 - Unforeseen Need (i.e., Something happens which is not within the control of the individual or organization and causes unforeseen consequences.)

Grant Amount Requested (not to exceed $750):

Will the amount requested fill the gap to cover your entire need or opportunity?

If your answer is "NO" please complete Budget at the bottom of the document.

Describe your need or opportunity in 150 words or less:

How will the grant money would be used if awarded:

In 150 words or less, describe how receiving this award will help you bridge a gap and make you or your organization successful. Please also identify why meeting this need at this time is crucial to you or your organization.

Which Funding Priority from the Cultural Plan does your need or opportunity best respond to (select one)? To review the descriptions for each Funding Priority Click here.

If your entire need is more than $750, please complete the budget information.

BUDGET

Expenses - List all expenses related to your need or opportunity:

Description: Amount $

Income - List any income or contributions related to the opportunity or need:

Description: Amount $

Comments or special notes about income or expenses related to the opportunity or need:

I certify that all statements made in this application are true to the best of my knowledge and in accordance with the eligibility criteria for this program. My organization is located in Clackamas County, and/or I am a Clackamas County resident 18 years of age or older. If funded, I will utilize funds as indicated in the application. If I am unable to utilize the funds as stated, I will cancel the grant and return all funds.

I will submit a Final Report within 30 days of the conclusion of proposed need or opportunity.

By typing your name you certify and confirm all information and statements above:

It may take several seconds for your application to be submitted. Please do not hit the submit button again. Once your application is successfully submitted, you will be redirected to a "Success" page.

CONTACT