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Community Service Grant Funding Application

  1. Community Service Grant Funding Application Overview

    The Jurupa Valley City Council approved $55,000 to be utilized for approved mini-grant funding for projects benefitting the residents residing within Jurupa Valley.

  2. Language Translation
    This form is available in English, Spanish, and over fifty (50) other languages. Use the Google Translate tool located on the bottom right of the screen to select your language preference.
  3. Traducción de Idiomas
    Este formulario está disponible en inglés, español y en más de cincuenta (50) idiomas. Use la herramienta ‘Google Translate’ ubicada abajo a la derecha de la pantalla para seleccionar su idioma preferido.
  4. Section 1: Project/Program Information
  5. Amount should not exceed $5,000

  6. Section 2: Organization and Geographic Area Served
  7. Community Services Funding Grant must be exclusively used to serve Jurupa Valley.

  8. If different from Organization's Mailing Address. 

  9. Section 3: Nonprofit Status
  10. Upload Verification from Federal (IRS) and State (FTB) as Follows:
  11. Request for Taxpayer Identification Number and Certification
  12. (3.8) This Application has been Authorized by the Organizations:*

    Select all that Apply

  13. Section 4: Mission Statement of Organization
  14. Section 5: Grant Funding Project/Program Description

    Receipts/invoices will be required to be submitted to the City of Jurupa Valley to demonstrate that your organization used funding awarded by the City to support the project/program as described here. See the Compliance Report in section 8 of the application for details.

  15. Include equipment or services that would be purchased and why.

  16. Section 7: Signature Page
  17. (7.1) Authorization to Submit Application*
    • The information contained on this application is true, correct and up to date to the best of our knowledge. 
    • Recipient is subject to all Community Service Funding Program requirements including submittal deadlines and payment disbursements. 
    • Every Community Service Funding application is considered individually and on its own merit. 
    • Awards will be given to organizations and activities that directly benefit the residents of Jurupa Valley. 
    • Funding is not immediately available to the recipient and requires an award letter signature upon approval. Please allow time for checks to be processed. 
    • The award of Community Service Funding does not constitute an automatic annual allocation. 
    • The recognition for Community Service Funding should accrue to the City of Jurupa Valley. 
    • Community Service Funding must be spent as specified on the Application and records may be requested by the City of Jurupa Valley to ensure the funds were used appropriately. 
    • The recipient shall provide a full accounting with documentation on the use of awarded funds. 
    • The recipient shall return to the City any funds not spent or documented per the signed agreement. 
    • If awarded a Community Service Funding Grant by the City of Jurupa Valley last year, then compliance receipts must be submitted on or before this application’s due date or this application may be rejected as incomplete. 
    • If the application is approved, applicant agrees to comply with the Community Service Grant Policy and use the funds only for the purposes approved. All laws applicable to the City’s funding of the Grant will comply with any conditions added by the City Council. 
    • Applicant further agrees that the Community Services Grant Funding shall not be used for salaries; scholarships to students; payment of debts; or religious or political purposes. 
    • Applicant further agrees not to discriminate on the basis of sex, race, color, religion, ancestry, national origin, disability, medical condition, genetic information, marital status, sexual orientation, citizenship, primary language, or immigration status or such other grounds as are established by law, in the expenditure of the Community Services Funds. 
  18. Provide the date for the authorization/electronic signature.

  19. Provide the full name of the person that is authorizing the submission of this form. This will serve as your electronic signature.

  20. If signed by other than designee or alternate, a resolution of the Non-Profit authorizing the person signing to approve the application is required.

  21. For More Information, Please Contact:
  22. Section 8: Expenditure Report
  23. Fiscal Year (FY) 2023-2024 Compliance Report

    If your organization is awarded a Community Service Grant in Fiscal Year 2023-2024 by the City of Jurupa Valley, all grant funds received must be expended anytime between September 1, 2023 and June 30, 2024. In addition, all grant funds must be substantiated with proper back-up documentation. Failure to provide proper documentation may jeopardize any future funding. City of Jurupa Valley reserves the right to conduct an audit and/or require additional backup information to substantiate how funds received from the City were spent. 

    If the funds are not spent in accordance with the approved purpose stated on the application, the organization will be required to refund all unspent funds. To substantiate that Fiscal Year 2023- 2024 funds received from the City were spent appropriately, proper back-up documentation including the table below with accompanying receipts/invoices must be submitted to the City on or before the due date of: June 30, 2024.

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  25. This field is not part of the form submission.