Name of Applicant Organization/Agency

Federal Tax ID #

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Project Director Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Project Name

Date Project to Begin

Date Project to End

Total Project Budget

Grant Funds Requested

Funds to be Provided by Applicant

Sources of Funding for Project and Their Dollar Amounts

Is the request for (check all that apply):

Special Event or Project

Marketing and / or Promotion

Collateral Material (brochure, rack card, etc.)

Other (please specify in next line)

Other from line above, if applicable

Does your organization/agency receive any tax funding?

If yes, how much tax funding is received annually?

If yes, what is the source of the tax funding? (check all that apply)

Local

State

Federal

Does your organization/agency recieve funding from a foundation(s)?

Yes

If funding is recieved from foundation(s), please list the foundation(s)

Is your organization/agency For Profit or Non-profit?

Organization/agency annual budget?

Narrative Description of Project (Included need assessment/purpose of project, outline of project procedure, intended results of project.

Project justifications and economic benefit/impact to the visitor industry

What is your anticipated visitor attendance because of this event?

What is your anticipated impact on Thomasville hotel/motel occupancy

Special Events/Project Expenses (be specific in expense breakdown)

Marketing/Promotion (paid media specify name/type of media / publication and date of airing /appearance; if audio visual specify slides, film video, etc., for all other, be specific in expense breakdown)

Collateral Material (specify type and number printed, include breakdown of design, layout and printing cost)

Other expenses you would like us to take into consideration

Total Expenses:

Detailed Breakdown of Total Anticipated Income (i.e. ticket/program sales, grants)

Total Anticipated Project Income

Has your organization been a past recipient of a Thomasville Tourism Marketing Grant?

If yes, when?

If yes, what amount was awarded?

Date

YYYY

Tourism Grants