James River Arts & Cultural District Cultural Infrastructure Funding Application

Applicants for the Cultural Infrastructure Grant must schedule a meeting with city staff to discuss their project before applying. We look forward to connecting with you and learning more about your project!

Project Title

Applicant Organization/Individual

Employer Identification Number (if applicable)

Phone Number

Is Applicant:

an Individual

Non-Profit Organization

Other

If "Other," please explain:

Requested Grant Amount

Total Project Cost

Project Summary

What type of cultural infrastructure will this grant be used for? Examples could be renovations, upgrades to existing facilities, equipment purchases, or other construction.

Describe in detail the project for which you are requesting a JRAC District Cultural Infrastructure Grant. Be sure to include expected timeline, location, and main goal of the project.

How does this project or activity provide a new or innovative offering in the James River Arts & Cultural District?

Location Details

What is the address of the site where the project will occur?

Current ownership status of the property?

Owned

Leased

Other

If other, please explain. If leased, please provide the lease expiration date and upload landlord approval documentation.

Upload Landlord Approval Here

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Project Details

What organization, supplier, or contractor will manage the project? Provide the details and timeline for securing them.

Upload a concept plan of the project.

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Certain projects will require permitting from the City of Lynchburg; it is the responsibility of grant applicants to determine and meet these requirements.

Economic Impact & Cultural Benefit to the Public

Please describe how this new amenity or improvement will benefit the public and provide an economic impact for the City.

Budget Narrative

How specifically will the grant be used? How will the project be maintained or sustained beyond the grant period?

Please list other funding sources for this project.

Upload Project Budget

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Upload a copy of your organization's most recent IRS W-9 Form.

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Amusement Tax

Does your organization collect amusement tax?

Yes

Authorization

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

By signing this Application, the Authorizing Agent is guaranteeing that the information contained in this Application is correct and verifiable. The Authorizing Agent is affirming that the funds requested herein will be used for the specific purpose outlined in this Application and for no other purpose. Providing false, inaccurate or misleading information or the use of grant funds for other than the expressed purpose will result in disqualification from consideration and forfeiture of any grant awarded. Upon grant approval, the Authorizing Agent agrees to sign a Grant Disbursement Agreement that may include an audit of grant expenditure.