User Request Form

Fill out the information below to request access to the Kansas Governor’s Grants Program (KGGP) Portal. Once submitted, please wait for KGGP to review your request. You will receive a follow-up email notification to let you know whether access has been granted or not. Please expect up to five business days for the review to be completed.

* indicates required field

First Name *

Last Name *

Title *

Email *

Personal Phone *

Ext.

Enter a valid US phone number capable of receiving text (SMS) messages, or two-factor by phone will not work.

Password *

Minimum 12 characters

Password Confirmation *

Organization Details

Name *

FEIN *

UEI

12-character alphanumeric identier.

Legal Name

The Legal Name must match exactly how the organization’s name is identified in their System for Award Management profile at www.sam.gov. If you do not have a SAM profile, leave this field blank.

Organization Phone *

Website URL

Type *

Describe "Other" Type *

Description *

Describe "Other" Description *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

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