2025 Tourism Funding Request Application

Contact Information

Please provide the primary contact information for this application. If you are collaborating with another organization, please note in the Collaboration Information section if you would like to include the organization on correspondence relating to the Tourism Grant opportunity.
Primary Contact Name:*

First NameLast Name
Primary Contact Title: *
Primary Contact Phone Number:*
Please enter a valid phone number.
Primary Contact Email Address:*
This address will receive a confirmation email when this form is submitted.
Is the primary contact able to sign contracts on behalf of the organization? *

YesNo
Please provide the Name, Title, and Email address of the contract signatory.
Name*

First NameLast Name
Title*
Email Address*
example@example.com

Promotion Initiative Details

Please complete the section below to provide information about the promotion initiative. Use as much detail as possible to provide a clear understanding of your vision and goals.
Initiative Name:*
Requested Amount:*
Organizational Background:*
Please provide the Organization’s Mission Statement and how it is achieved:*
Statement of Need:*
Please indicate if there will be a Collaboration for this initiative:*

YesNo
Name of the partnering organization(s):*
What is the nature of the collaboration? *
Provide the details and specifications of the initiative:*
Promotion plan:*
Projected outcomes:*
Description of target audience:*

Budget

Please provide a detailed budget breakdown of how funds (if awarded) would be expended. For your review and reference, we have provided definitions to clarify the types of eligible marketing. If you need additional space for your budget, please note the budget line and attach a separate document.

Budget Definitions:
- Digital/Video: The creation or enhancement of digital or video content for use of the promotion of events.
- Social Media: The use of paid social media platforms or search engine boosting to promote events.
- Radio/Podcasts: Pre-approved promotional advertisements of events that are advertised via radio broadcast or podcast streaming.
- Television/Streaming: Pre-approved promotional advertisements of events that are played before, during, or after television or streaming content.
- Graphic Design: Paid assistance for the development and design of marketing materials used for the promotion of events. Graphic Design expenses must not exceed 10% of the total award.
- Other: Please describe. This line will be subject to evaluation and approval of the Director of Economic Development and Tourism. Additional supporting documentation may be requested.

Budget Detail

	Description of Use	Cost	Target Location(s)	Comments
Digital/Video
Social Media
Radio/Podcast
Television/Streaming Video
Graphic Design *Not to exceed 10% of Award
Other

Upload additional budget documentation

File types allowed: pdf, doc, docx, xls, xlsx
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Reporting Requirements

Awardees are required to submit Quarterly Reports and a Final Report to the Department of Economic Development and Tourism. Quarterly Report and Final Report template will be provided by the Department of Economic Development and Tourism via email to the applicant.

The report will include:
- Status updates on the promotion initiative.
- Proofs or design drafts.
- Any available statistical data on how the promotion has assisted the Organizations tourism efforts.
- How the funding has helped improve the organization's operations. 
Failure to comply with the outlined reporting requirements will result in potential delayed reimbursements or forfeiture of the funds from this grant.
I acknowledge the reporting requirements. I understand failure to provide the final report will result in potential delayed reimbursements or forfeiture of the funds from this grant.
Name*

First NameLast Name
Title*
Organization*
Date*

MonthDayYear
Date
Signature*

Clear

Conflict of Interest Disclosure

DISCLOSURE, ACKNOWLEDGMENT AND AFFIRMATION OF NO CONFLICTING INTEREST OR ACTIVITY, WHICH WOULD CONSTITUTE A PERSONAL GAIN OR A CONFLICT OF INTEREST

Your designation as a Department of Economic Development and Tourism Beneficiary, requires that you fully understand the policies regarding potential conflicts of interest and all that is contained therein.

Conflict of Interest and Ethical Considerations.

A conflict of interest or the appearance of a conflict of interest may occur if you are directly or indirectly involved with an organization that you have submitted an application to for evaluation. Prior to entering into any contracts for award, you must inform the Department of Economic Development and Tourism of any potential conflicts of interest or the appearance thereof. If you become aware of any potential conflict of interest, you must immediately notify the Department of Economic Development and Tourism. You may be disqualified as a beneficiary grantee if you conduct yourself in a way that could create the appearance of bias or unfair advantage, whether through direct associations, indirect associations, through recreational activities or otherwise.

With full knowledge and awareness, I affirm that I do not have, I have not engaged in, and I will not engage in any activity that would provide a personal or pecuniary gain to myself, my spouse, or my dependent(s) from the award in which I am about to receive, from the Department of Economic Development and Tourism, County of Rockland.

The purpose of this document is to assist in the determination of whether additional restrictions, oversight, or other conditions might be advisable prior to execution of any contract, finding or providing assistance. The term “Conflict of Interest” refers to situations in which financial or other personal considerations may compromise or have the appearance of compromising professional judgment in following the rules and regulation of the program.

If approved, a Conflict of Interest form will be provided and signature is required prior to establishing a contract with the County of Rockland’s Department of Economic Development and Tourism.

Certification
Please indicate each acknowledgement with a check mark and sign/date the certification.*

I hereby certify that the information on this form is complete and accurate. I understand that the information provided may be subject to further verification by the County of Rockland. I will provide the information required to verify this data (i.e., payroll records, tax filings, bank account statements, year-to-date profit, and loss statement for 2024, etc.). I, therefore, authorize such verification and will provide the supporting documentation as required, within ten (10) business days of a written request.I certify that the business/organization has complied with its bylaws and other governing documents to obtain approval for the undersigned to submit this application and execute a grant agreement. I am aware that any misrepresentation or inaccurate information will be treated as a default concerning the grant made and will require repayment. I hereby acknowledge that if any funding is received from the County of Rockland, it must be expended as I have represented in this proposal and according to any requirements set by the County.I understand that submission of this proposal does not guarantee a Grant Award.
Name*

First NameLast Name
Title*
Organization*
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

Tourism Funding Request Application

Organization Information

Organization Social Media Profiles

Contact Information

Promotion Initiative Details

Collaboration Information

Collaborationing Organization 1:

Organization Social Media Profiles

Previous Funding Details

Budget

Budget Definitions:

Reporting Requirements

Conflict of Interest Disclosure

Conflict of Interest Disclosure

Certification

	Select Category Awarded	Amount Awarded
Digital/Video
Radio/Podcast
Graphic Design
Social Media
Television/Streaming
Other