Skip to form

City of Grand Junction

webforms@gjcity.org

CO, US

Document Signers
    • 1 Signer1

SeamlessDocs

Applications and all attachments for the Community Development Block Grant must be submitted to the City of Grand Junction electronically no later than 5:00 pm on Monday, March 22, 2021. By completing this form online, and submitting attachments with it, the form and attachments will automatically be delivered to the CDBG Administrator, Kristen Ashbeck. If you have questions, please contact her at 970-244-1491 or kristena@gjcity.org.

You will be prompted to attach the additional files at the end of the submittal process (after clicking the Finalize and Submit button). Some of the attachments are required. The form will not be submitted if you do not attach all required documents, or if any file is too large (250MB max).

Please Note: You may wish to prepare your answers in a Word document and then copy / paste the answers into the online form. For reference purposes, a blank copy of the form may be printed by clicking the printer icon to the left of the form. Alternatively, you can save your partially completed form by clicking the Save icon to the left of the form. This will prompt you to register your email address and password so that you can return to the form at a later date. You will receive an email message containing a link to allow you to return to the form.

Also note that answers have a length limitation (in characters) and must fit within the space provided.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign
12/03/2021Click to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

OMB A-133 Single Audit (if applicable) or recent audit or financial statement [REQUIRED] Click Here to Upload
Data Collection Form pertaining to OMB A-133 (SF-SAC) Click Here to Upload
SAM Registration Confirmation [REQUIRED] Click Here to Upload
Affirmative Action Plan [REQUIRED] Click Here to Upload
List of current board members, including their employer and/or other pertinent affiliations [REQUIRED] Click Here to Upload
Copy of project's client intake form or application form used to collect and certify income and racial data [REQUIRED] Click Here to Upload
Copy of your organization's original IRS determination letter indicating 501(c)(3) or tax-exempt status Click Here to Upload
Other attachment as needed Click Here to Upload