2025 Bloomington Digital Opportunity Grant

How did you learn about this grant opportunity? *

Organization Name *

Address *

County *

Phone Number Of Organization *

Organization Website *

Email Address Of Organization *

Name of Executive Director *

Email of Executive Director *

Grantee Chief Signing Authority Name *

Grantee Chief Signing Authority Phone *

Grantee Chief Signing Authority Email Address *

Project Name *

Name Project/Grant Lead *

Phone of Project/Grant Lead *

Email of Project/Grant Lead *

Is your organization a 501(c)(3)? *

Organization mission statement/description *

Describe your organization's experience in delivering digital equity programs. *

Grant Use *

What is your organization's yearly budget? *

What is your organization's staff size? *

Project Overview *

Project Need *

Project Location *

People *

Indicate population served in your organization *

Project and Community Benefits *

Partners *

Websites of Partner Organization

Promotion and Recruitment *

Please provide a brief description of what activities you expect to complete in each quarter over the next year? *

Outcome Evaluation *

Technical Support *

Technical Infrastructure:
  *

Online sites used *

Previous year recipient

Ranking Funding Priorities *

Claim Submission *

Fiscal Amplification *

Additional Funding *

Project Budget detailing the use of City funds *

Year-end financial statement including fund balance, total revenue and expenditures *

Cost quotes on hardware, software or other items showing budget research (if organization is seeking funding for capital expenses/improvements)

501(c)(3) documentation *

A Memorandum of Understanding between parties (if this is a collaborative project)

Your Indiana SOS Certification *

Some other examples of useful attachments include:

• Letters documenting partner commitment
• Volunteer pledge sheets
• Curriculum overview

Certification *

Full Name *

Date *