Test form | Discover Jasper County Indiana

Capital Projects test form

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Project Title*

Project Requester Name*

First Last

Location*

Start Date*

End Date*

Organization Name*

Address*

Street Address City State ZIP Code

Website*

EIN Number*

Phone*

Please upload the organization’s most recent IRS Form 990 or other proof of non-profit status.*

Max. file size: 5 MB.

Contact Name*

First Last Title

Email*

Amount Being Requested*

Total Budget*

Please provide a detailed description of the project*

a) What is the overall goal of the project? b) Who will benefit from this project? c) How will this project impact the community? d) Where will the project be located? e) How does the project impact economic development?

Briefly describe the organization requesting funding*

Please include a) The date of incorporation b) History c) Mission d) Program activities and services currently being delivered in Jasper

Construction schedule*

Please provide a timeline

Plans completed to date*

History of request*

Is this the first time that you have requested funding for this project? If not, then why was it declined the first time?

Provide your line item budget*

Please include a) An estimated project cost outline b) Explain how JCTC funding will be used c) Provide a list of other financial contributors and funding source

Explain how the success of the project will be measured*

Please include a) Impact on citizens and tourists b) Impact on area lodging facilities c) Effect on other relevant businesses or organizations

What are future goals and projections for the project?*

Funding Acknowledgment and Agreement*

On behalf of the organization identified on this application, I do hereby certify that the information provided is true and accurate. I further acknowledge that the Jasper County Tourism Commission has awarded the organization funding under Capital Projects Grant and that this funding will not exceed fifty percent of the cost of the total budget for the project.

Name*

First Last