Who uses the Agency Funding Request Application?

Outside agencies and charitable organizations use the packet to request Town of Blackstone funding and submit information for consideration during the budget process.

What information and documents does the request require?

The application asks about the organization, its mission, funding request, planned use of funds, outcomes, and performance measures. The checklist also identifies supporting documents, including budgets and financial records.

Do I need a notary for the Agency Funding Request Application?

No. The document has no notary block; the certifying statement asks the signer to sign and date it.

How do I submit the Agency Funding Request Application?

The packet lists the Finance Department mailing address as 100 W. Elm Street, Blackstone, VA 23824, and provides j.brown@townofblackstoneva.com and fax number (434) 292-7251.

Blackstone, VA · Nottoway County

No notary required

Agency Funding Request Application

Outside agencies and charitable organizations use this packet to request Town of Blackstone funding and provide supporting information for budget consideration.

What this form is

This packet includes an Application for Funds, a certifying statement, submission instructions, and a checklist for an outside agency requesting Town funding. It asks for organization details, mission, funding amounts, planned use of funds, outcomes, and other information, with supporting records such as budgets and financial statements. Funding requests are considered during the Town budget process, and the packet says requests are due by March 1, 2024.

Who needs it

Outside agencies and charitable organizations seeking Town of Blackstone funding should complete the application and provide the listed supporting documents.

How to submit it

The packet lists the Town of Blackstone Finance Department at 100 W. Elm Street, Blackstone, VA 23824, and gives [email protected] as an email contact. It also lists fax number (434) 292-7251.

About notarization

This document is signed without a notary; the certifying statement asks an authorized signer to sign and date it.

How to submit this form

1
Download The Packet
Download the Agency Funding Program Policy and Procedures packet.
2
Complete The Application
Fill in the Application for Funds and complete the certifying statement, including the signer’s signature and date.
3
Gather Supporting Documents
Use the submission checklist to gather the required organizational, budget, and financial documents.
4
Submit The Request
Send the packet to the Town of Blackstone Finance Department using the mailing address, email, or fax listed in the document.

Frequently asked questions

Who uses the Agency Funding Request Application?: Outside agencies and charitable organizations use the packet to request Town of Blackstone funding and submit information for consideration during the budget process.
What information and documents does the request require?: The application asks about the organization, its mission, funding request, planned use of funds, outcomes, and performance measures. The checklist also identifies supporting documents, including budgets and financial records.
Do I need a notary for the Agency Funding Request Application?: No. The document has no notary block; the certifying statement asks the signer to sign and date it.
How do I submit the Agency Funding Request Application?: The packet lists the Finance Department mailing address as 100 W. Elm Street, Blackstone, VA 23824, and provides [email protected] and fax number (434) 292-7251.

Need something notarized?

This Agency Funding Request Application doesn’t need a notary — but if you have another Blackstone form that does, a commissioned online notary can help.