Outside Agency Requests for 2026

Organization Name (required)

Physical Address (no P.O. boxes) (required)

City (required)

State (required)

Zip Code (required)

Mailing Address (if different)

City

State

Zip Code

Phone Number (required)

Email Address (required)

Amount of funding requested from the City of Florence (required)

Project Name: (required)

Project Manager: (required)

Please describe the specific activity, program, or service funding is being requested for. This description should include information about how the activity, program, or service will benefit the community, and how it supports the City's Master Plan initiatives: (required)

Is the Organization located within the city limits of Florence? (required)

Yes

No

Organization's W9 (required)

Is your organization a 501c3 in good standing with the IRS? (required)

Yes

No

Please upload Certificate of Good Standing: (required)

Please upload 501c credentials (if applicable)

Will this project/service directly impact the citizens of Florence? (required)

Yes

No

Projected number of Florence area residents to be served: (required)

Will this project/service be on-going or just one time? (required)

On-going

One time

If on-going, how will this be continuously funded?

If on-going, what is the total amount received? (required)

Have you received funding from the City in prior funding years? (required)

Yes

No

Did you complete the project/service as reported? (required)

Yes

No

If no, why not? (required)

*These are the acceptable categories your project must fit into* (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Outside Agency Requests for 2026

City of Florence Outside Agency Funding 2026 Timelines:

2026 Outside Agency Funding Application