Fiscal Year 2021 Grant Application

By completing this form you are certifying that you have completed this application to the best of your knowledge. Should this application result in your organization/agency/school system receiving funding, you understand that any false or misleading information provided or failure to abide by the terms and conditions listed in the Notification of Funding Availability (NOFA) may result in a loss of funding.

Type of Maryland Organization*

Select the type that best describes your organization.

Select

Type of Grant*

Select

Type of Grant*

Select

Memorandum of Understanding (MOU)*

Is there a MOU between the local school system and the law enforcement agency in your area? If so, please attach a copy to this application.

Select

No MOU*

The SRO grant requires a MOU between local school system and law enforcement agency. Will your organization be able to meet this requirement within 30-days of the award date of the grant? Note: Even if request is approved, no grant funds will be reimbursed until this requirement is met.

Select

Organization Name*

This should be the same as the name listed on your IRS form W9.

Head of Organization*

Last Name, First Name, Middle Initial

Same as primary point of contact (poc)?*

Select

Primary Point of Contact (POC)*

Last Name, First Name, Middle Initial

POC Telephone Number*

POC Email Address*

POC Fax Number

Street Address*

Suite/Unit #

City*

State*

Zip Code*

Jurisdiction*

Select

Website

Please enter the website address here

Are you receiving other funding for this project?*

Select or enter value

Other funding Source(s)*

List your other funding source(s) for this project.

Project Budget*

Enter the total proposed budget for this project.

Requested Grant Funds*

Enter the amount you are requesting from this grant funding source.

Funding Category*

Select the category(ies) that best describe how you plan to use the funds from this grant source.

Select

Funding Category*

Select the category(ies) that best describe how you plan to use the funds from this grant source.

Select

Start Date*

Enter the date you anticipate starting this project, if approved.

End Date*

Enter the date you anticipate this project to end, if approved.

File Upload*

Please upload application documents referenced in the NOFA. Note: Incomplete applications will not be considered.

Drag and drop files here or

By signing this form, you certify that you completed this application to the best of your knowledge and certify that you understand this constitutes a legal signature confirming that you acknowledge and agree to the disclaimers.*

Please sign your last name, first name and middle initial.

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