To apply for this grant:
- Please complete and sign the application below. Questions with an (*) require a response.
- Programs with multiple sites must submit an application for each licensed site.
- Use a computer desktop or laptop with the Google Chrome web browser for best results. Download Chrome here.
- Have the IRS Form W9 completed and ready to upload. Download the W9 form here.
- Please read the acknowledgement statement and follow the instructions for completing the application signature process.
To translate the application to Spanish/other language:
1. Open the application using Google Chrome web browser. Download Chrome here.2. Anywhere on this form, right click for a drop-down menu.
3. From the drop-down menu, select “Translate to.”
4. Choose the preferred translation language.
Para traducir el formulario al español u otro idioma:
1. Abra el formulario con el navegador web Google Chrome. Descarga
Chrome aquí.
2. En cualquier lugar de este formulario, haga clic con el botón derecho y verá un menú desplegable.
3. Selecciona "Traducir a".
4. Elija el idioma al que le gustaría que se tradujera.