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Advisory Neighborhood Commission 5A

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  • Home
  • About
    • History
    • Commissioners
    • Bylaws
    • FAQs
  • Documents
    • Agendas
    • Meeting Minutes
    • Meeting Recordings
    • Presentations
    • Quarterly Financial Reports and Budgets
    • Resolutions
  • Meetings
  • Resources
    • Grant Applications
    • DC Administrative Websites
    • Community Organizations
    • Important City Contacts
    • Other Resources
  • Contact
    • ANC 5A
    • ANC 5A Commissioners
    • Request to Present
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Grant Application

"*" indicates required fields

MM slash DD slash YYYY
Please enter a number from 0 to 2500.
Address of Organization*
Person Submitting Application*
Submit your List of Officers and Term Dates of Services*
Officer Name
Term Dates
 
Does your organization have 501(c) status?*
Max. file size: 64 MB.
Has your organization previously applied for a grant from ANC 5A?*
Please enter a number from 0 to 2500.
Was it granted?*
Was a follow-up report given to the Commission?*
Does your organization currently receive funding from the DC Government?*
Please enter a number greater than or equal to 0.
Is the organization an all volunteer organization?*
Is the grant's purpose being used within the boundaries of Commission 5A?*
Max. file size: 64 MB.
Consent*
The undersigned affirms under penalties of perjury that the responses to this Grant Application are true and correct to the best of his/her knowledge. On behalf of the Applicant, the undersigned acknowledges that this Grant Application may not be approved or that the Commission’s grant budget may be insufficient to fund this Application even if approved. The Applicant’s sole recourse to such non-approval or failure to fund is to submit another application to the Commission.

If awarded a grant by ANC 5A, I certify that within 60 days after the grant award is disbursed that I shall forward to the Commission a statement as to the use of the funds received. This statement should be consistent with the information in the original grant form. The appropriate documentation, including invoices, sales receipts, etc., must also be submitted to the Commission along with the report. Failure to meet these requirements shall hold the organization that I represent liable for the repayment of grant funds received to ANC 5A.
MM slash DD slash YYYY

Contact Information

  • Email Address:
    5a@anc.dc.gov
  • Mailing Address:
    5171 South Dakota Avenue NE
    Washington, DC 20017

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