Things you need to fill up in SCRA or Scott County Regional Authority Grant Application Form are as follows:

1. APPLICANT ORGANIZATION
2. MAILING ADDRESS
3. TELEPHONE

4. FEIN #

5. CHIEF EXECUTIVE OFFICER
6. DESCRIPTION OF PROJECT
7. CONTACT PERSON/ADDRESS/PHONE #

8. CONTACT EMAIL ADDRESS
9. FINANCIAL OFFICER

10. AMOUNT OF FUNDING REQUESTED FROM SCRA

11. ORGANIZATION IS:

12. WHAT PERCENT OF SERVICES WILL BE PROVIDED TO RESIDENTS OF SCOTT COUNTY?

13. IN WHAT STATE IS ORGANIZATION INCORPORATED?

14. AUTHORIZATIONS AND CERTIFICATIONS:


Contact Detail:
Scott County Regional Authority
(For SCRA use only)
PO Box 474
Bettendorf, Iowa 52722
563-344-2626

Attached Files

SCRA Grant Application Form.doc (51.5 KB, 57 views)