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2. Thank you for your interest in our Law Enforcement Trust Fund (LETF) grant program, and for submitting your request for funding.  The Wilton Manors Police Department (WMPD) recognizes the vast quantity of services that not-for-profit organizations provide the community and residents of Wilton Manors.  We understand LETF Funds are vital to our mission of connecting with youth and providing programs, mentorships and assistance, and we are committed to supporting these agencies in any way we can.

   A member of our team will contact you in the coming weeks following our review of your application package.  If you have any questions in the meantime, you may contact  us at (954) 390.2158.  Thank you!!!

4. * Indicates a Required Field
6. APPLICANT/AGENCY INFORMATION
8. Applicant Agency Legal Name (as listed on sunbiz.org)*
10. Address1
12. City
13. State
14. Zip
16. Main Administrative Address*
18. City*
19. State*
20. Zip*
22. Primary Phone Number*
23. Secondary Phone Number
25. Email Address*
26. Website*
28. CEO/Executive Director*
30. PROGRAM INFORMATION

    Maximum characters for long answers is 1,000.

32. Program Title*
34. Name/Title of Program Contact*
35. Phone Number*
37. Email Address*
39. Address1*
41. City*
42. State*
43. Zip*
45. Total Program Budget*
46. Amount Requested*
48. ORGANIZATION'S BACKGROUND: Provide a concise description of the Applicant Agency, including its history, years of operation, general mission statements, and primary services provided. *
50. LETF Category/Statutory Requirement*

    1. Crime Prevention
    2. Drug Treatment or Abuse Prevention/Education
    3. Safe Neighborhood
51. Wilton Manors P.D. Priority Area*

    1. Diverting Youth from Criminal Justice System
    2. Reducing Gun Violence/Violent Crime
    3. Programs that assist the Unhoused/Mentally Ill
53. Provide a program summary or overview of program services.*
55. How does your proposed project address the LETF category (listed above) or the Wilton Manors Police Department's priority area?*
57. Why is this funding needed (what community needs or problems would be addressed?) What data suggests this program should be implemented with this population or in this geographical location? *
59. Describe in detail how the program will be implemented: (Include details of Who, What, Where, and When) Ensure responses include program successes or challenges if previously funded, why the Agency needs the funding, and its impact on the community. All programs must address a specific population, and the narrative should indicate the number of clients served and services provided. *
61. Describe the Applicant’s Agency experience in serving the target population and the capacity of the Applicant Agency to undertake the proposed program. *
63. Has your Agency received previous LETF funding? (If yes, identify the source and the dollar ($) amount and provide performance data regarding your contracted outcomes for the fiscal years your Agency was funded.)*
65. TOTAL PROGRAM LINE BUDGET
67. Please provide an estimated line item budget for your program. Project budget should ONLY include costs related to your funding request. Other match funds should not be included below.*
69. Budget Narrative. Explain how this budget will allow the Agency to achieve its program goals and objectives.*
71. SIGNATURE/CERTIFICATION

    By checking each box below, the applicant agrees to comply with the following terms and conditions if awarded LETF funding, and acknowledges their understanding of program requirements and expectations. 

73. PERIOD OF PERFORMANCE*

    1. APPLICANT shall commence services as soon as practical and reasonable under the circumstances. All program activities must be completed within one (1) year of disbursement unless said date is extended by WMPD in writing. Any request for an extension of time must be submitted in writing no later than 30 days before the end of the performance period of the award.
75. REPORTS AND DELIVERABLES*

    1. APPLICANT will keep clear and accurate records throughout the Program period so that the WMPD may readily evaluate the progress of the services rendered at mutually agreed upon times.
    2. APPLICANT will provide WMPD with an annual program report which will include the current Program status by APPLICANT in completing/servicing the program, expenditure of funds, backup documentation supporting expenses, in addition to such other pertinent information as requested by Wilton Manors Police Department on the report form to WMPD no later than fifteen (15) days October 15th each year funded.
    3. APPLICANT will submit a final report of activities and expenditures documented by receipts or other financial proof of Program expenditures on the report form to WMPD no later than forty-five (45) days at the end of the Program performance period. The APPLICANT shall burden all costs and expenses in generating and delivering such documentation, and the documents shall be provided in a format acceptable to WMPD. Failure to comply with the reporting requirements shall result in the APPLICANT ha
77. RETURN OF FUNDS*

    1. If the APPLICANT fails to perform; or is determined later not to be qualified to receive LETF, or if the APPLICANT made untruthful statements within its Request for Funding Application; or fails to provide the necessary reporting documents to WMPD, then all LETF disbursed to the APPLICANT shall be returned to WMPD within ten (10) business days of WMPD’s written demand for the same, and APPLICANT may be ineligible for any future LETF disbursements.
79. SPECIAL PROVISIONS*

    1. APPLICANT will not qualify for subsequent year funding from WMPD and will not be able to receive subsequent year funding until a complete report, approved by WMPD, has been obtained for prior year activities that LETF funded. Notwithstanding the foregoing, WMPD shall not be obligated to award any subsequent funding unless and until the APPLICANT reapplies for the same and is approved for disbursements at the discretion of WMPD.
    2. Failure to spend grant funds in accordance with the approved budget will result in the return of funds to WMPD.
    3. Failure of the APPLICANT to submit a complete report with backup documentation to WMPD, at no cost to WMPD, will result in the immediate return of funds to WMPD.
    4. Failure of the APPLICANT to comply with sub-recipient monitoring will result in the immediate return of funds.
81. How did you hear about this Law Enforcement Trust Fund Grant Program?
    -- Select One --City WebsiteSocial MediaFamily/FriendsNetworking EventI've received funds from another law enforcement agency.Other
83. Upload an image of your Agency's Florida Division of Corporate Certificate of Status*
85. Upload an image of your Agency's IRS Form 501(C)(3).*
87. Upload an image of your Agency's IRS Form W-9. *
89. Truth Verification and Certification*

    1. I Certify and Agree

    I certify that the information in this application is true, correct and complete to the best of my knowledge.  I also grant permission to the Wilton Manors Police Department to verify the information contained in this application.

91. Submitter's First Name*
92. Submitter's Last Name*
Leave This Blank:


94. 1. Receive an email copy of this form.
95. Email address

    This field is not part of the form submission.

96. Submit Submit and Print

* indicates a required field