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10-Point Grant Writing Guide > Sample Grant Applications > Sample Grant Application No. 3

This grant application consists of five (5) exhibits presented on five (5) pages:

Exhibit 1: Program Summary
Exhibit 2: Applicant Information
Exhibit 3: Economic Distress Information
Exhibit 4: Detailed Program Information
Exhibit 5: Matching Funds and Program Certifications

Sample Public Implementation Grant Application


Federal Housing and Retraining Program (HRP)

Exhibit 5 - Matching Funds and Program Certifications

Public/Private Support

Public Support

The Area HRP Program will be the beneficiary of other federal funds in the amount of $150,500.00 that will be designated by the CBO from a State Training Grant that was awarded to the CBO in Fiscal Year 199X for the purpose of promoting community development activities in the Area.

The moneys will be spent for the purposes of program planning, outreach and recruitment activities, materials and equipment, training and technical assistance for the staff, and job placement and follow-up services.

Outreach and recruitment efforts will benefit from $25,000.00 of the special program grant fund.

Private Support

The CBO and LNO will have pro-bono architectural and engineering work perform as a part of the program so as to support the HRP initiative and to provide for more affordable housing.

Housing Project Funding

The units will be financed through the State Housing Fund, tax credits and union Section A subsidy. Planning costs will be financed through public and private matching funds. Funds for the acquisition of the site will be obtained through the State Housing Agency, the HRP program, city funds, conventional lending and private solicitation and grant funds.

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Program Certifications

Joint Applicants Mememorandum of Understanding

The CBO and LNO in the interests of furthering assisted housing in the Area enter into a partnership for the purposes applying for a HRP grant so as to partially finance housing and training activities within the same program area. The CBO will be the primary sponsor of the grant application and will have all legal responsibility as the grant recipient. All responsibilities concerning the financial and administrative aspects of the grant will be the combined accountability and liability of both of the parties separately and in common. All employment and contract details will be agreed to by both of the parties. No hiring or contracting will be discharged without pertinent advise and consent of both of the parties.

Other areas of collective or joint activity include:

Architectural and Engineering; Contracting; Legal Representation; Training & Counseling; Curriculum and Personnel; Site Selection; Preparation of Funding Applications

The CBO will be responsible for: Conducting Training & Counseling; Fiscal Reporting and Auditing; Construction Scheduling; Liability Insurance; Payroll and Fringe Payments

The LNO will be responsible for: Quarterly Reports; Overall Evaluation; Site Selection Studies; Identification of Funding Sources

The partners shall encourage and support the initiatives of each partner to become involved in the project operations and improvements. The primary sponsor will carry out a plan to incorporate such involvement in the operations and planning of activities related to the HRP implementation program. this will include regular meetings with each of the program participants of each of the partners, with written minutes and agenda, and all financial reporting.

All common areas of responsibility will be the province of a board composed of two duly appointed representatives of CBO and two duly appointed representatives of the LNO. All decisions respecting common areas of obligation and liability must be unanimous. All plans and specification for the upcoming renovations will be shared with both of the partners.

Signed: ________________________________
Community Based Organization, Inc.
Dew Good: Executive Director
Dated: January 1, 199X

Signed: ________________________________
Local Neighborhood Organization, Inc.
Rev. I. N. Service: Executive Director
Dated: January 1, 199X

Consistency with City Coordinated Plan

The proposed HRP Program activities proposed in the application for HRP funding by the CBO and LNO, specifically a training and educational program for economically disadvantaged high school drop outs between the ages of 16 and 24 in the Area, are consistent with the City Coordinated Plan for the fiscal year 199X.

I am authorized to act on behalf of the City and do certify that the activities described in the HRP Program grant application are consistent with the approved City Coordinated Plan within which the program service area and site is located.

The fiscal year 199X Coordinated Plan was approved in FFY 199X. Please note that this certification of consistency with the Coordinated Plan does not commit the City to any discretionary actions required in connection with the application.

For the City

Signed _____________________
C. Planner, Coordinated Plan Director
Dated ______________________
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