Applications and any accompanying documentation must be submitted to the City Clerk’s office by no later than 5:30 PM on Tuesday, May 6, 2025. Applications received after this deadline will not be considered.

The initial formal presentation will take place at the May 19, 2025, City Council meeting. 

cortlyne.huppe@florencecolorado.org 

Florence City Hall 
Attn: City Clerk 
600 West Third Street 
Florence, CO 81226

2025 Outside Agency Funding Application

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Section One: Organization Information

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)

Year organization was founded: (required)

Does the organization have a 501c designation? (required)

Yes

No

Mission statement if the organization: (required)

Brief description of the programs/services provided by the organization: (required)

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

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

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Section Two: Activity, Program, and/or Service Information

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: (required)

Please explain what you hope to achieve by offering this activity, program, or service (what is your objective and how does this objective benefit the community?): (required)

Keeping the objective above in mind, please describe any specific actions the requested funding will allow you to take in pursuit of this objective. Please include how these actions will benefit the community: (required)

How will you measure if you have successfully met your objective? Please include information about how this success will benefit the community: (required)

Is this activity, program, or service related to any activity, program, or service provided by other agencies or non-profits in the community? (required)

Yes

No

If yes, how is it related? (required)

If yes, how does it differ from the existing activity, program, or service? (required)

If yes, have partnerships been formed or considered? (required)

Yes

No

Why or why not? (required)

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Section Three: Funding Information

Have you requested other funding for this activity, program, or service? Please note, other funding includes funding from any other sources such as fundraisers, sponsorships, etc. (required)

Yes

No

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If yes, please complete the narrative section below:

Organization Funding has been Requested from // Amount of Funding Requested // Request Status (Select One) Pending or Awarded (required)

Description of funding requests not from other organizations (i.e. fundraisers etc.) (required)

Have you received funding from the City of Florence during the past five (5) years? (required)

Yes

No

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If yes, please complete the narrative section below:

Year Awarded // Amount Awarded // Activity/Program/Service Funded // Number of Florence Area Residents Served (required)

If this year’s requested funding is denied, how will it impact the activity, program, or service, specifically as it relates to Florence area residents? (required)

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A presentation to the City of Florence City Council and/or a subcommittee thereof will be required for all finalists for funding (date to be determined). Failure to present to the City of Florence City Council and/or a subcommittee thereof will automatically disqualify the organization from this year’s funding.

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

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If awarded funds, I understand the City of Florence may require interim and final reports regarding funded activities/programs/service. I further understand the City of Florence retains the right to audit financial and operational records at its discretion upon reasonable notice.

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

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I hereby certify the information provided in this application is complete and accurate:

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

Supporting materials

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