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2. I have read the Grant Information Packet: https://www.klamathcounty.org/1252/Tourism-Grant-Program

   
   

3. yes/no*
   -- Select One --yesno
5. I plan to apply for two projects
6. yes/no
   -- Select One --yesno
8. If yes please rank this project for level of priority
9. priority
   -- Select One --N/A1st2nd
11. Project Title*
13. Grant Cycle*
    -- Select One --SpringFallSpecial
14. Amount Requested*
16. Total Project Cost*
    All expected expenditures including your amount requested and your required 30% cash match (only if your amount requested is $3,000 or more)
17. Entity Federal Tax ID Number
    Do not enter if putting in SSN
19. Entity Name*
21. Grant Contact Name*
22. Email Address*
24. Address*
26. City*
27. State*
28. Zip Code*
30. Phone Number*
31. Fax Number
33. Is there a separate person responsible for the grant application than the project? Please specify names of person(s) responsible for application and project.
34. Name(s)
36. reply email
37. reply email
39. Are you or is anyone in your organization an employee of Klamath County Government or a relative of an employee of Klamath County Government?
40. yes/no
    -- Select One --yesno
42. If yes, please enter name
43. Name
45. Are you or is anyone in your organization affiliated with or a relative of the Klamath County Tourism Review Committee?
46. yes/no
    -- Select One --yesno
48. If yes, please enter name
49. Name
51. Select which of Travel Oregon's Key Initiatives your project aligns with:
52. choose one*
    -- Select One --Maximize economic return on investments in OregonDrive year-round destination-oriented travel from Oregon's key markets by aligning and optimizing local opportunitiesDevelop destination-based products that are in concert with Oregon's natural environment, support the stewardship of the state's resources and its rich historyProvide strategic industry professional development and training opportunities
56. Project (250 words or less)*
    Describe the project for which funding is requested (details should include the primary goals and objectives of your project). Be sure to include locations, dates and times. If your grant project is approved, this description will be used to highlight your grant, so be as specific as possible when describing the elements of your grant project
58. Need (250 words or less)*
    Describe the need for your project
60. Long-Term (250 words or less)*
    What is the long-term plan for your project
62. Measurability (250 words or less)*
    How will you measure the success of your project, in the short-term and in the long-term? Be as specific as possible.
64. You are not required to answer project preference questions, however answers may help to enhance a grant application's competitiveness.
66. Community/Region (250 words or less)
    Describe how this project complements and is consistent with your community and/or region's current local objectives
68. Support & Involvement (250 words or less)
    Describe how this project has the support and involvement of the community. (List any partners, sponsors, volunteers and their contributions and/or activities. Support letter from these partners will also enhance your application.)
70. Impact (250 words or less)
    In what ways does this project address a need in the tourism industry and show potential to generate significant regional and/or local impact?
72. Diversity/Inclusion (250 words or less)
    In what ways does this project strive to promote diversity and inclusion (accessibility, minority populations or underserved visitor segments)?
74. Showcase partnership (250 words or less)
    Describe how this project showcases a public/private partnership with Oregon-based small business.
76. Is this project/event in shoulder season (October through May)?
77. yes/no*
    -- Select One --yesno
78. Does the project/event occur outside urban growth boundaries?
79. yes/no*
    -- Select One --yesno
81. Required supporting documents*
    • Proof of federal tax id (if one is issued, do not upload docs for SSN)
    • Entity's W-9 form (omit SSN)
    • Grant Budget - Use the grant budget template provided
    • Support letters - All entities are required to obtain support from 3 businesses/organizations
    • If your grant project involves signage of any kind, you are required to gather and submit letters from all required local, regional or state sign authorities involved demonstrating approval to place signage on their land/property during the timeframe of the grant 
    • Marketing type projects - If producing collateral you must describe your distribution plan, including budgeted costs 
    • If your grant project involves infrastructure development/construction you must include plan drawings and approval from permitting authorities if required locally
    • All grant applicants are required to submit a grant timeline. 
    • All grant applicants are required to submit proof of insurance and insurance packet.

    ALL DOCUMENTS MUST BE COMBINED INTO ONE PDF FILE AND THEN UPLOADED.

83. Insurance Requirements
    Insurance Acord 25-S with County required minimums, Klamath County as additional insured, additional insured endorsement, proof of workers comp and auto coverage (if needed). If no employees or autos will be used for grant fulfillment, a document on letterhead stating no employees or autos will be used for grant fulfilment must be submitted.
85. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
87. Electronic Signature
89. Date/Time*
    Date/Time

    Date/Time
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91. 1. Receive an email copy of this form.
92. Email address

    This field is not part of the form submission.

93. Submit Submit and Print

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