Introduction

The City of Sheridan provides funding opportunities to local organizations in addition to municipal spending through the annual allocation of Optional One Cent Funds. Organizations receiving municipal and/or county funds do not operate within the formal structure of City or County governments but may utilize support from these governments to achieve their missions, or to fund special projects. These organizations generally have a strong presence within the community and provide vital services, products, or activities that serve to improve the community in a variety of ways. Historically, the organizations requesting funding have typically fallen within the following the following categories:

Economic and Community Development: These organizations have been established within our community to work for overall improvement, advancement and economic health through civic involvement, economic development initiatives and through fostering community spirit.

Facilities and Infrastructure: The City of Sheridan leverages One Cent funding for the critical repair and maintenance of facilities and infrastructure. Past and current projects include the reconstruction of Wyoming/Park, Illinois, West Downtown, Loucks Street, and the North Sheridan Interchange.

Heritage and History: These organizations sponsor educational and community events or exhibits designed to encourage an appreciation of the diverse cultural background of the Sheridan area.

Water Quality, Open Space, Pathways, and Recreation: Funds allocated to this section sustain and develop recreational and leisure activities within the community, as well as assist in the maintenance of water quality. Drainage improvements, pathway crossings, and repairs to recreational facilities are included.

Public Health and Community Programs: This category includes organizations that support the health and well-being of members of the community. Efforts within this category aid in areas such as child development, support for at-risk youth, and reduced cost healthcare options.

Public Safety: Public safety campaignsinvolve non-enforcement based approaches to increase safety for residents of Sheridan County.

Seniors and Family: This category currently applies funding toward maintaining updated facilities and programs for Sheridan’s elderly population. The Senior Center provides home delivered meals, in home services, transportation, care programs, and more.

Application Instructions

Please answer questions in the form provided here. An application is also available for download on the City of Sheridan website, www.sheridanwy.net. Contact Cecilia Good (, 675-4214) if you have questions or require additional information. All requested information must be completed before this application can be considered. Applications that are incomplete or are missing required materials will not be considered until all missing information or items have been received by the City Clerk’s Office.

Applicants must submit one (1) signed original application, plus one (1) electronic copy to:

Original Copy

Hand deliver to: or
Customer Service
City Hall
55 Grinnell Plaza / Mail:
Clerk’s Office
Attn. Cecilia Good
P.O. Box 848
Sheridan, WY 82801

Electronic Copy

Email to:
Cecilia Good
City Clerks Office
307-675-4214

The application process also includes a five minute presentation to the City Council. See Application Checklist for meeting schedule.

Applications must be received by the City Clerk’s Office by no later than 5:00 p.m. on Friday January 12th, 2018.

Application Checklist

This checklist is for applicant use only. Do not include this list in your application.

o
o / Single Page Executive Summary
Complete Application Form.
o / One (1) Original Copies hand delivered or mailed to the City Clerk’s Office.
o Copy of Organization W-9 Form.
o Only provide what is requested. Please do not include brochures, promotional materials, etc.
o / One (1) Electronic Copy emailed to .
(Note: Do not include W-9 in electronic version)
o / All sections must be completed in the provided format. Incomplete responses and/or incomplete forms will be returned to the applicant for completion.
o / In Sections III and IV must be submitted in a single page per question. Please add any additional categories if necessary.
o / Complete Section V if your agency received funding during the FY 2016/2017 cycle. Reminder: All current City of Sheridan awardees are required to submit a second quarter report along with the application so that the Clerk’s office can process payments.
o / Mark your Calendar: Presentation Schedule (a final presentation schedule will be provided when applications are received)
Date/Time / Location
January 29, 2018/ 5:00 p.m. / Council Chambers of City Hall, 55 Grinnell Plaza
Schedule for Decision Making Process and Availability of Funds
Funding decisions shall be announced upon adoption of the City’s FY 2019/20 budget. Adoption is planned to occur in June 2018. Funds are generally distributed in quarterly payments with the submission of a quarterly report. Distribution of funds will be made after July 1, 2019.

SECTION I: Cover Sheet

Application for City of Sheridan One Cent Funds

Fiscal Years 2020-2023

(July 1, 2019 to June 30, 2023)

General Information
Name of Organization: / Phone Number:
Contact Person: / Address:
Amount of Funds Requested:
Email:
Describe the principal purpose of your organization:
List the names of Board Members and Officers:

Declaration: I hereby certify that the information give in this application for One Cent funding is true and correct to the best of my knowledge.

Agency Director______

Signature Print Name Date

Board President______

Signature Print Name Date

SECTION II: Fact Sheet –

Please keep responses to questions below to a single page

Organizational History and Mission

Provide a brief history of your organization in Sheridan County, including services provided to area residents and your organization’s Mission Statement.

Funding Requested

Briefly explain how the funds will be used and why public funds are necessary to accomplish this goal. Some discussion items to cover in this section may include: Whether or not the funding request has increased from prior years; Whether or not this is a one-time or on-going request; The description of any large program or staff expansion set to occur; Any large equipment or other fixed assets that will be purchased; How your project relates to city or county goals or improves the overall quality, character or health of the community; and Whether or not funding will be used to leverage additional monies for your organization either through grants or other means

SECTION III. Financial Information -

Please keep responses to a single page. (Responses must utilize this form)

Balance Sheet as of December 31, 2017:

Assets (Current)

/ Total / Liabilities / Total / Other Financial Information You Wish to Include:

Cash:

/ $ / Payables: / $

CDs, etc.:

/
$
/
Withholding:
/ $

Receivables:

/
$
/
Long Term:
/ $
Fixed / $ / Promissory Notes: / $
Equipment / $ / Mortgage: / $

Building

/
$
/
Owner’s Equity:
/ $

Less Depreciation

/
$
/

SECTION IV. Budget Information -

Please keep responses to a single page. (Responses must utilize this form)

Revenue

/ Amount / Secured or pending?
City of Sheridan One Cent
Sheridan County One Cent
Donors
Fundraisers
Interest
Other
Other
Other
Other
Total Estimated Revenue
Expense
/ Amount / Comments
Salary, Director
Salary, Other(s)
Benefits
Rent
Utilities
Client Service
Client Aid
Equipment
Other
Other
Other
Other
Total
/ This figure should match Estimate Revenue line above.

SECTION V: Report for Prior Awardees Only-

Please keep responses to questions below on a single page

Complete this section if your agency has previously been awarded One Cent Funding for July 1st 2016 to June 30th 2017:

Amount Awarded? / $
Have you used all of the funds awarded? / Yes
No

Briefly describe the impact that the previous award has had on your program, project or organizational operations. Some discussion items to cover in this section may include:

·  Number of persons served and demographics of persons served (income level, age, race, etc.)

·  Describe the overall impact of these funds on your program, project or organization

·  If your agency has not yet to spent all of the awarded funds, please briefly describe your plans to expend the funds by the end of the fiscal year

·  Did your agency use One Cent funding to leverage additional funds, either through grants or other means?

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