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2. 
3. DEPARTMENT*
   -- Select One --AirportCommunications and MarketingCity ManagerEconomic DevelopmentEngineering FinanceFireHousing and Community ServicesHuman ResourcesInformation TechnologyLibraryNeighborhood ServicesMesquite Arts CenterParks and RecreationPlanning and DevelopmentPolicePublic WorksSolid Waste / Equipment Services
4. DIVISION
6. DEPARTMENT HEAD*
7. EMAIL ADDRESS / PHONE NUMBER *
9. PROJECT MANAGER*
10. EMAIL ADDRESS / PHONE NUMBER*
12. Does this grant align with City Council Policy?

    If "Yes", Explain.

16. GRANTOR *
17. AMOUNT OF REQUEST *
18. FUNDING TYPE*
    -- Select One --FederalStateLocalCorporateFoundation
19. If "Federal - CDFA / ASSISTANCE LISTING #
21. TYPE OF REQUEST*

    1. New Program
    2. Program Enhancement
    3. Project Support
    4. Capital Asset
    5. Capital Improvement
    6. Event Aid / Sponsorship
    7. Volunteer Support
22. DETAILED DESCRIPTION / INTENDED USE*
23. ADDITIONAL NEEDS or REQUIREMENTS

    1. Hire New Staff
    2. Shift Existing Staff Duties
    3. Overtime Work / Pay
    4. Dept Collaboration / IT Assistance
    5. External Partners
    6. Office or Storage Space
    7. Equipment / Supplies
    8. Construction / Assembly
25. FUNDING FREQUENCY*

    1. One Year
    2. Multi Year
26. BASIS OF FUNDING *

    1. UpFront/ Direct
    2. Reimbursement
27. IS MATCH FUNDING REQUIRED?

    1. Yes
    2. No
    3. Conditional
    4. In-Kind
28. If "MATCH" % REQUIRED
30. APPLICATION DUE DATE *
31. GRANT ANNOUNCEMENT (WEBLINK)
33. DECISION (For Grants Review Team Only)
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field