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Grant/Loan Applications and Reporting Forms

Welcome. For your convenience we have arranged all grant applications, reporting forms and related materials by program. You may scroll down the page to find the forms you need, or click on the name of the program you’re interested in. If you represent a nonprofit organization that received a Rural Center grant, please note the special section of Nonprofit Compliance Forms.


Building Reuse and Restoration Grants

Rural Hope

Microenterprise Loans
Community Development Corporation Grants
Economic Innovation Grants
N.C. Small Towns Economic Prosperity Grants

New Generation Initiative

OICs

Rural Community Mobilization Project
Water and Sewer Grants
Nonprofit Compliance Forms
Financial Request Form

Statement of No Overdue Taxes Form

 

 

Building Reuse and Restoration Grants

Application materials
First step in the process: Building Reuse Pre-Application Conference Request Form (Word - Revised Oct. 2012)
Building Reuse -- Vacant Properties Grant Application (Word - Revised Oct. 2012)

Building Reuse -- Occupied Properties Grant Application (Word - Revised Dec. 2012)

 

Rural Hope

Application materials

Rural Hope Pre-Application (Word)

Rural Hope Application (Word)


Sample contract documents
Sample Grant Agreement (Executed between the Rural Center and local government) (Word)
Sample Loan Performance Agreement and Promissory Note (Word)

Payment request and progress report forms
Building Reuse/Rural Health Financial Request Form (Excel)
Building Reuse/Rural Health Financial Request Guidelines  (Word)
Building Reuse/Rural Health Progress Reporting Form  (Word)
Building Reuse/Rural Health FINAL Reporting Form  (Word)
Building Reuse/Rural Health Job Verification Guidelines (Word)
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Microenterprise Loans

Microenterprise Pre-application and Credit Report Request (PDF)

Microenterprise Loan Application (Word)
Microenterprise Program Loan Cash Flow Form (Excel)
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Community Development Corporation Grants

Application materials
2012 CDC Grants Application (Word)

See Statement of No Overdue Taxes Form

Reporting forms

CDC Financial Request Form (Excel)

CDC Quarterly Progress Reporting Form (Word)

2013 CDC Match Report (Excel)

CDC Schedule of Due Dates (Excel)

2012 Year End Measuring Progress Report (Word)

2013 CDC Application Budget (Excel)

See Nonprofit Compliance Forms

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Economic Innovation Grants

Application materials

Economic Innovation Grant Guidelines and Intent to Apply Form (Word)

 

Reporting forms
Economic Innovation Grants Quarterly Progress Report (Word)

Economic Innovation Grants Final Report Template (Word)

Economic Innovation Grants Economic Impact Assessment Template (Word)
If applicable, also see Nonprofit Compliance Forms

See Financial Request Form

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N.C. Small Towns Economic Prosperity Grants

Application materials
2012 NC STEP Application Guidelines (Word)
2012 NC STEP Application (Word)

Reporting forms
Monthly Planning Report (Word)
Planning Final Report  (Word)

Monthly Implementation Report (Word)

Implementation Final Report (Word)

STEP Planning Financial Report Form (Excel)

STEP Implementation Financial Report Form (Excel)

STEP Match Report (Excel)

2012 STEP Planning Reporting Schedule (Excel)


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New Generation Initiative

Application materials

New Generation Leaders full grant guidelines and application (Word)

 

Reporting forms

 

New Generation Careers program reporting requirements (Recorded webinar)

 

New Generation Leaders Budget Form (Excel)

New Generation Leaders Financial Request Form (Excel)

New Generations Leaders Match Report (Excel)

New Generations Leaders Match Report - Example (Excel)

New Generation Leaders Schedule of Due Dates (Word)

See Nonprofit Compliance Forms

 

OICs

Application materials

OIC Application Form (Word)

OIC Organizational Information Sheet (Word)

Budget and Budget Narrative (Excel)

Exhibit A-1: 2011-2012 Scope of Services Timeline (Word)

See Statement of No Overdue Taxes Form


Reporting forms

OIC Financial Request Form (Excel)

OIC Quarterly Progress Report page 1 (Word)

OIC Quarterly Progress Report pages 2 & 3 (Word)

See Nonprofit Compliance Forms

OIC Schedule of Due Dates (Excel)

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Rural Community Mobilization Project

Application materials

Request for Proposals – grant guidelines and scoring criteria (Word)
Application Form (Word)
How to Apply Webinar for Community Mobilization Grants (11/2012) (recorded webinar)

 

 

Reporting Forms

Financial Request Form and Instructions (Excel)

See Nonprofit Compliance Forms

Return to top of page

 

Water and Sewer Grants

Application materials

Municipal ATP (PDF)

 

Appropriation Funds

2012-2013 Appropriation Funds Planning Grant Application (Word)

 

Clean Water Partners Infrastructure Program Grants
Intent to Apply Form -- Clean Water Partners Infrastructure Supplemental Grants (Revised September 2009)  (Word)
2009-10 Clean Water Partners Infrastructure Supplemental Grants Guidelines and Application (Revised September 2009) (Word)
Qualifying Indicators for Clean Water Partners Applications (Revised 2010) (PDF)

ATP by municipality (PDF)

ATP by county (PDF)

Economic Infrastructure Program Application Materials
North Carolina Economic Infrastructure Program Pre-Application (Word)
North Carolina Economic Infrastructure Program Performance Agreement (Word)
North Carolina Economic Infrastructure Program Application (Word)

Statistical information for water and sewer grants

 

Economic Infrastructure Program Payment Request and Progress Reporting Forms
Financial Payment Request Checklist for Grantees  (Word)
Financial Request Form and Instructions (Excel)
Quarterly & Final Report (Word)
Conflict of Interest Statement  (Word)
If applicable, also see Nonprofit Compliance Forms

 

Planning, Supplemental, Unsewered Communities Grant Programs

Financial Request and Reporting Form with instructions (Excel)
Financial Payment Request Checklist (Word)
Quarterly & Final Report (Word)
Conflict of Interest Statement (Word)
Capital Improvement Plan General Guideline (PDF)
Minority Business Statement from General Statute 143-128 (PDF)

Unsewered Communities Grant Program Only
Project Budget (Word)
Project Schedule (Word)

 

Nonprofit Compliance Forms

Certification and Sworn Statement (Word)
State Grants Compliance Reporting: Receipt of $25,000 or more (Word)
State Grants Compliance Reporting: Receipt of less than $25,000 (Word)
Program Activities and Accomplishments (Word)
Schedule of Receipts and Expenditures (Excel)
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Financial Request Form and Instructions

Financial Request Form and Instructions (Excel)

 

Statement of No Overdue Tax

Statement of No Overdue Tax Form (Word)

 

Return to top of page

 

Grant/Loan Applications and Reporting Forms

Welcome. For your convenience we have arranged all grant applications, reporting forms and related materials by program. You may scroll down the page to find the forms you need, or click on the name of the program you’re interested in. If you represent a nonprofit organization that received a Rural Center grant, please note the special section of Nonprofit Compliance Forms.


Building Reuse and Restoration Grants

Rural Hope

Microenterprise Loans
Community Development Corporation Grants
Economic Innovation Grants
N.C. Small Towns Economic Prosperity Grants

New Generation Initiative

OICs

Rural Community Mobilization Project
Water and Sewer Grants
Nonprofit Compliance Forms
Financial Request Form

Statement of No Overdue Taxes Form

 

 

Building Reuse and Restoration Grants

Application materials
First step in the process: Building Reuse Pre-Application Conference Request Form (Word - Revised Oct. 2012)
Building Reuse -- Vacant Properties Grant Application (Word - Revised Oct. 2012)

Building Reuse -- Occupied Properties Grant Application (Word - Revised Dec. 2012)

 

Rural Hope

Application materials

Rural Hope Pre-Application (Word)

Rural Hope Application (Word)


Sample contract documents
Sample Grant Agreement (Executed between the Rural Center and local government) (Word)
Sample Loan Performance Agreement and Promissory Note (Word)

Payment request and progress report forms
Building Reuse/Rural Health Financial Request Form (Excel)
Building Reuse/Rural Health Financial Request Guidelines  (Word)
Building Reuse/Rural Health Progress Reporting Form  (Word)
Building Reuse/Rural Health FINAL Reporting Form  (Word)
Building Reuse/Rural Health Job Verification Guidelines (Word)
Return to top of page

 

Microenterprise Loans

Microenterprise Pre-application and Credit Report Request (PDF)

Microenterprise Loan Application (Word)
Microenterprise Program Loan Cash Flow Form (Excel)
Return to top of page

 

Community Development Corporation Grants

Application materials
2012 CDC Grants Application (Word)

See Statement of No Overdue Taxes Form

Reporting forms

CDC Financial Request Form (Excel)

CDC Quarterly Progress Reporting Form (Word)

2013 CDC Match Report (Excel)

CDC Schedule of Due Dates (Excel)

2012 Year End Measuring Progress Report (Word)

2013 CDC Application Budget (Excel)

See Nonprofit Compliance Forms

Return to top of page

 

Economic Innovation Grants

Application materials

Economic Innovation Grant Guidelines and Intent to Apply Form (Word)

 

Reporting forms
Economic Innovation Grants Quarterly Progress Report (Word)

Economic Innovation Grants Final Report Template (Word)

Economic Innovation Grants Economic Impact Assessment Template (Word)
If applicable, also see Nonprofit Compliance Forms

See Financial Request Form

Return to top of page

 

N.C. Small Towns Economic Prosperity Grants

Application materials
2012 NC STEP Application Guidelines (Word)
2012 NC STEP Application (Word)

Reporting forms
Monthly Planning Report (Word)
Planning Final Report  (Word)

Monthly Implementation Report (Word)

Implementation Final Report (Word)

STEP Planning Financial Report Form (Excel)

STEP Implementation Financial Report Form (Excel)

STEP Match Report (Excel)

2012 STEP Planning Reporting Schedule (Excel)


Return to top of page

 

New Generation Initiative

Application materials

New Generation Leaders full grant guidelines and application (Word)

 

Reporting forms

 

New Generation Careers program reporting requirements (Recorded webinar)

 

New Generation Leaders Budget Form (Excel)

New Generation Leaders Financial Request Form (Excel)

New Generations Leaders Match Report (Excel)

New Generations Leaders Match Report - Example (Excel)

New Generation Leaders Schedule of Due Dates (Word)

See Nonprofit Compliance Forms

 

OICs

Application materials

OIC Application Form (Word)

OIC Organizational Information Sheet (Word)

Budget and Budget Narrative (Excel)

Exhibit A-1: 2011-2012 Scope of Services Timeline (Word)

See Statement of No Overdue Taxes Form


Reporting forms

OIC Financial Request Form (Excel)

OIC Quarterly Progress Report page 1 (Word)

OIC Quarterly Progress Report pages 2 & 3 (Word)

See Nonprofit Compliance Forms

OIC Schedule of Due Dates (Excel)

Return to top of page

 

Rural Community Mobilization Project

Application materials

Request for Proposals – grant guidelines and scoring criteria (Word)
Application Form (Word)
How to Apply Webinar for Community Mobilization Grants (11/2012) (recorded webinar)

 

 

Reporting Forms

Financial Request Form and Instructions (Excel)

See Nonprofit Compliance Forms

Return to top of page

 

Water and Sewer Grants

Application materials

Municipal ATP (PDF)

 

Appropriation Funds

2012-2013 Appropriation Funds Planning Grant Application (Word)

 

Clean Water Partners Infrastructure Program Grants
Intent to Apply Form -- Clean Water Partners Infrastructure Supplemental Grants (Revised September 2009)  (Word)
2009-10 Clean Water Partners Infrastructure Supplemental Grants Guidelines and Application (Revised September 2009) (Word)
Qualifying Indicators for Clean Water Partners Applications (Revised 2010) (PDF)

ATP by municipality (PDF)

ATP by county (PDF)

Economic Infrastructure Program Application Materials
North Carolina Economic Infrastructure Program Pre-Application (Word)
North Carolina Economic Infrastructure Program Performance Agreement (Word)
North Carolina Economic Infrastructure Program Application (Word)

Statistical information for water and sewer grants

 

Economic Infrastructure Program Payment Request and Progress Reporting Forms
Financial Payment Request Checklist for Grantees  (Word)
Financial Request Form and Instructions (Excel)
Quarterly & Final Report (Word)
Conflict of Interest Statement  (Word)
If applicable, also see Nonprofit Compliance Forms

 

Planning, Supplemental, Unsewered Communities Grant Programs

Financial Request and Reporting Form with instructions (Excel)
Financial Payment Request Checklist (Word)
Quarterly & Final Report (Word)
Conflict of Interest Statement (Word)
Capital Improvement Plan General Guideline (PDF)
Minority Business Statement from General Statute 143-128 (PDF)

Unsewered Communities Grant Program Only
Project Budget (Word)
Project Schedule (Word)

 

Nonprofit Compliance Forms

Certification and Sworn Statement (Word)
State Grants Compliance Reporting: Receipt of $25,000 or more (Word)
State Grants Compliance Reporting: Receipt of less than $25,000 (Word)
Program Activities and Accomplishments (Word)
Schedule of Receipts and Expenditures (Excel)
Return to top of page

 

Financial Request Form and Instructions

Financial Request Form and Instructions (Excel)

 

Statement of No Overdue Tax

Statement of No Overdue Tax Form (Word)

 

Return to top of page