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 Rural Health Care Grants

Application materials
Building Reuse and Restoration Grants
First step in the process: Building Reuse Pre-Application Conference Request Form (Word - Revised July 2010)
Building Reuse Development Grant Application (Word - Revised July 2010)

Rural Health Care Initiative
Rural Health Care application (new application coming soon)

Sample contract documents
Sample Grant Agreement (Executed between the Rural Center and local government) (Word)
Sample Loan Performance Agreement and Promissory Note for use when the job creating entity owns the subject building  (Word)
Sample Loan Performance Agreement and Promissory Note for use when the job creating entity does not own the subject building (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 Progress Report and Job Verification Guidelines (Word)
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Business Loans

Pre-application Questionnaire for Rural Venture Fund and Microenterprise (PDF)
2010 Microenterprise Loan Guidelines and Application (PDF)
Microenterprise Program Loan Cash Flow Form (Excel)
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Community Development Corporation Program Grants

Application
2011 Community Development Corporation Grants Application (Word)

2011 Community Development Corporation Budget Narrative and Instructions (Excel)

Reporting forms
See Nonprofit Compliance Forms

See Financial Request Form
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Economic Innovation Grants

Application materials
2009-10 Economic Innovation Grants Guidelines (Word)
2009-10 Economic Innovation Grants Letter of Intent Requirements  (Word)
2009-10 Economic Innovation Grants Proposal Requirements  (Word)
2009-10 Economic Innovation Grants Application  (Word)

Reporting forms
Economic Innovation Grants Progress Report (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
2009-10 NC STEP Application Guidelines (Word)
2009-10 NC STEP Application  (Word)

Reporting forms
Monthly Planning Report (Word)
Implementation Quarterly Report (Word; for use only by 2006 Phase I towns)
Planning Final Report  (Word)

Monthly Implementation Report (Word)

See Financial Request Form

If applicable, also see Nonprofit Compliance Forms
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Water and Sewer Grants

Application materials
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 Planning Grants Guidelines and Application (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)

Economic Infrastructure Program Grants
2010-11 North Carolina Economic Infrastructure Program Pre-Application (Word)
North Carolina Economic Infrastructure Program Performance Agreement  (Word)
2010-11 North Carolina Economic Infrastructure Program Application (Word)

Statistical information for water and sewer grants

Reporting 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)

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

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

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