2026 Grant Application

Klamath County Cultural Coalition — Deadline: September 30, 2026

Grant awards up to $2,000 per project. Please read all instructions carefully before submitting.

An IRS W-9 form must also be emailed to [email protected]. Your application is incomplete without it.

Questions? Call Rich Bergstrom at 541-205-2800.

1. Organization Information

Organization Name *

Mailing Address *

City *

State

ZIP *

Phone *

Email *

Website

Organization Type *

Federal Tax ID (EIN) *

2. Contact Person

Full Name *

Title / Role

Phone *

Email *

3. Project Information

Project Title *

Project Start Date *

Project End Date *

Project Location / Venue *

Amount Requested ($) *

Total Project Budget ($) *

Cultural Category *

4. Project Description

Describe your project *

What will you do? Include activities, timeline, and key participants.

Project Goals and Objectives *

What do you hope to achieve? List measurable outcomes.

Target Audience *

Who will benefit? Estimated number of participants/attendees.

Community Benefit *

How does this project benefit Klamath County's cultural life?

5. Budget Narrative

Itemized Budget *

List all project expenses and income sources. Show how the grant funds will be used.

6. Previous KCCC Grants

Has your organization received a KCCC grant before? *

7. Certification

I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that this organization must submit an IRS W-9 form with this application, and a Final Project Report within 30 days of project completion (no later than December 31, 2027).

Authorized Signatory Name *

Title *

Typed Signature (type your full name) *

Date *

Reminder: You must also email a completed W-9 form to [email protected]. Download the W-9 at irs.gov. Your application will be considered incomplete without it.