Sheriff's Advisory Board - Pinellas County Sheriff's Office

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The Pinellas County Sheriff's Advisory Board Community Grant Program funds ... and decide which programs will receive a
Sheriff’s Advisory Board Community Grant Application

FOR OFFICE USE ONLY Date Received: Application Number: Committee Assigned: North/South

The Pinellas County Sheriff’s Advisory Board Community Grant Program funds local initiatives which serve our youth and provide a service or fulfill a need. Individual grants will be awarded up to $1,000 per program, for a total disbursement of $10,000 in May of 2017. The Sheriff’s Executive Advisory Board will review the applications and decide which programs will receive a Community Grant.

Application Deadline: March 31st, 2017

APPLICANT INFORMATION Please Print Clearly Name of Organization/Program_____________________________________________________________________ Physical Address __________________________________________________________________________________ Mailing Address__________________________________________________________________________________ (if different than physical address)

Program Contact Person and Title ___________________________________________________________________ Telephone Number ________________________ Email Address ___________________________________________ Website _________________________________________________________________________________________ Other (Social Media, etc.) ___________________________________________________________________________

GRANT REQUEST Please Print Clearly Amount requested $ ________________ Please submit a written proposal including, but not limited to the following: • Organization/Program Description & Goals (including when it was established) • Identify whether the Organization/Program is ongoing or a one-time initiative • How many persons are being, or will be, served by the Organization/Program (including age groups) • How grant funds will be spent • Any other pertinent documentation for the applications review

Applicant Signature

Date

TO SUBMIT E-mail: [email protected]

Mailing Address: Community Programs P.O. Drawer 2500 Largo, FL 33779-2500

QUESTIONS: Call (727) 582-6612