First Name

MI

Last Name

Email

Contact Phone Number:

Organization Name:

Organization Tax ID #:

City:

State

Zip Code:

Which best describes your group?

Since you chose other, what best describes your group?

Describe what you know about Wayne Metropolitan Community Action Agency.

Are you a Regional Advisory Council Member?

Have you received funds from any of the following Wayne Metro programs? (check all the apply) **current and past grantees ARE eligible for financial sponsorship

Seeding Wayne County Grant ProgramDetroit Residents First FundNeighborhood Beautification ProgramFinancial SponsorshipGrow Wayne County Grant ProgramNo, I have not received funding from Wayne Metro before

Request Details

Type of Sponsorship Request

Amount Requested: (Average- $250-$1,000)

If you are awarded at a lesser amount than your request, will you still be able to host your event?

Event/Project Name:

Will your event serve or benefit Black, Indigenous, and/or People of Color?

YesNoUnsure

Will any elected officials be present at the event?

YesNoUnsure

Are you interested in securing additional grant funding? If so, we strongly encourage your participation in our Regional Advisory Council.

YesNo

What is your approximate annual operating budget? (if unsure or not applicable, put n/a)

If any, what barriers do you face in securing grant funding?

Disbursement Details

Do you prefer check or Direct deposit?

If awarded, who should the Sponsorship check be made out to? (Please note: checks cannot be made out to individuals)

Date by which funding is needed:

Financial Sponsorship Request Form 2024

Contact Information

Organization Information

Request Details