TOURISM ATTRACTION FEASIBILITY
STUDY GRANT PROGRAM
APPLICATION FOR FUNDING
A.
Applicant(s):
_________________________________________________________
Project Title:
____________________________________________________________
Agent’s Name: __________________________________________________________
Mailing
Address:
_________________________________________________________
Phone Number: ______________________ Fax Number:
______________________
E-Mail: _________________________________________________________________
County:
________________________________________________________________
B. Amount of Funds Requested: ____________________________________________
Total Feasibility
Study Cost:
________________________________________________
C.
Who will be
conducting the study? ________________________________________
____________________________________________________________________
Is the firm/person
conducting the study outside of your city or county governmental
operation? Yes ______ No ______
If yes, please provide answers to the remainder
of the questions in Section C, and attach a brief history and a list of clients
and experience for the firm conducting the study.
Firm Name:
_____________________________________________________________
Firm Mailing
Address:
_____________________________________________________
Firm Phone
Number: ______________________ Firm Fax
Number: _______________
D.
CERTIFICATION
BY CHIEF EXECUTIVE OFFICER:
“I
hereby certify that the information contained on this form and the attached
documents is true and correct to the best of my knowledge. I understand that this application will be
rated on the basis of the information submitted and that the submission of incorrect
data can result in this application being withdrawn from consideration for
funding. Attached is
a statement of the minutes or administrative order from the governing city or
county board approving the matching fund grant request and a statement
affirming the amount of funds held by or committed for the project. Also attached is a statement of the
procedures that will be used by the party conducting the study and a summary of
how the study will be utilized.”
Signature: ________________________________Title: _________________________
Printed Name: ____________________________ Date:
________________________
E.
Application
Preparer’s Name:
____________________________________________
Mailing
Address:
_________________________________________________________
Phone Number: __________________________ Fax Number: ___________________
Submit to:
Tourism Attraction
Feasibility Study Grant Program
Arkansas Department
of Parks and Tourism
Tourism Development
Section
One Capitol Mall
PH: 501-682-5240