Registration

• Save Registration Information

• Personal Contact Information

• Name Mr. Ms. Dr. Salutation First Name Middle Name Last Name
• Title
• Email
• Address
• City Georgia Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming State/Province Postal Code/Zip
• Phone Phone
  ###-###-#### Ext.
• Fax ###-###-####

• What Program are you most interested in? This information is used in order to process your registration purposes only and does not restrict your ability to apply for other programs.?

  Program Area of Interest ARTS - Arts & Culture Program Area CSP - Community Services Program MBKFC - My Brother's Keeper Fulton County SYJTP - Summer Youth Job Training Program VSP - Veterans Services Program YHP - Youth Homelessness Program

• Copy Personal Information to Organization?
  Yes No

• Organization Information

IMPORTANT: Check YES that you are affiliated with an Organization and enter the details for the Organization you represent which intends to apply for grant funds. Your profile will be linked to that Organization so you can conduct business on its behalf within this grant system.

• Are you Affiliated with an Organization?
  Yes No

• Name
• Organization Type 501-C3: Tax Exempt - Not for Profit Government Entity (municipalities only) Educational Institution (schools: Universities, Colleges, Local School Systems) Individual

• Enter the Federal Unique Entity Identifier (UEI) SAM Number (formerly DUNS Number). On April 4, 2022 The Federal Government transitioned from the use of the DUNS Number to the new Unique Entity Identifier (UEI) as the primary means of entity identification for Federal awards government-wide. Visit https://sam.gov for more information.

  Agency Unique EntityIdentifier(UEI)SAM Number (12-character alphanumeric ID) Format =XXXXXXXXXXXX

• Enter Agency E-Verify (EEV) Number as assigned by the US Department of Homeland Security - www.e-verify.gov

  Agency E-Verify (EEV) Number

• Enter Fulton County Vendor Code Number (Note: Only for agencies who are currently funded or have received previous funding from Fulton County Government):
  If you are a current vendor with Fulton County and need to make any address changes to your Vendor information, please contact Gibran Harris in the Purchasing and Contract Compliance Department 404-612-5907.
  New agencies that are awarded grant funding must register with Fulton County as an official vendor. Registration is required before grant payments can be released.
  To get to the Vendor Self Service System from the internet, enter the following URL address: https://vss.fultoncountyga.gov

  Fulton County Vendor Code Number
• Tax Id
• Organization Website
• Address
• City Georgia Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming State/Province Postal Code/Zip
• Phone ###-###-####

• Select the NEW Fulton County Commission District for your agency (as of January 1, 2023).
  Fulton County Commission District Locator Instructions:
  1. Go to: http://www.fultoncountyga.gov
  2. Scroll to the section labeled “Top Services” and select the box for “Commission District Finder”
  3. Enter street address. If address does not appear, you may need to use an abbreviated suffix when searching, such as Dr., Rd., Ln. or just enter the street number and street name without a suffix (i.e. 141 Pryor).
  4. If the address entered is registered in Fulton County, the results will show an address match. Select the match and it will list the Fulton County Commission District and Commissioner (i.e. District 1, 2, 3, 4, 5, or 6).
  

  NEW Fulton County Commission District (As of January 1, 2023) 1 2 3 4 5 6 NA

• Agency Mailing Address

  NOTE: ALL GRANT – RELATED CORRESPONDENCE WILL BE MAILED TO THIS ADDRESS, INCLUDING PAYMENTS.

  Agency Mailing Address Ext.
• Fax ###-###-#### Mailing Address Suite
• Agency Mailing City/State/Zip Mailing Address City Georgia Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming Mailing Address State Mailing Address Zip Code

• Agency Contact Information

  Agency Main Contact Mr. Ms. Dr. Salutation First Name Last Name
• Position/ Title for Agency Main Contact
• Agency E-mail Address

• Agency Board Information

  Board Chairperson Mr. Ms. Dr. Salutation Board Chair First Name Board Chair Middle Name Board Chair Last Name
• Board Chair Telephone Number Board Chair Phone Extension
• 2nd Authorizing Official Mr. Ms. Dr. 2nd Official Salutation 2nd Official First Name 2nd Official Middle Name 2nd Official Last Name
• 2nd Authorizing Official Telephone Number 2nd Official Phone Extension

• Captcha