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Project, Program, and Policy Proposal Form

Submit this form when completed

Organization name
Type of organization
CountyCommunity development organizationEconomic development organizationHealthcareHigher educationIndividualK-12 educationLibraryMunicipalityPrivate businessOther
Are you a 501(c)(3) organization?
YesNoI don't know
Project title
Project description
What type of project is this?
RegionalLocalIndividualOther
Type of assistance requested
Branding or marketingBroadband developmentComprehensive planningData or researchGrant administration or fiscal sponsorshipGrant writingPlanning developmentPolicy developmentProject or program developmentScenario planningWebsite developmentOther
Please describe the type of assistance required
Number of staff or volunteers dedicated to project
Names of partner organizations
What is the total cost of your project or program?
How much funding are you seeking?
What is your local match source?
Reminder: many grant applications require at least 50% local matchBondCash on handFeesIn-kind hours (staff, volunteers, etc.)Loan/revolving loan fundTaxesTIFOther
I have completed the following:
Benefit-cost analysisEconomic impact studyFeasibility studyFinal designFiscal impact analysisEnvironmental site assessment - Phase IEnvironmental site assessment - Phase IIMaintenance/life-cycle cost analysisPreliminary designStrategic planOther
Impact areas
Accessibility/equityArts/cultureCommunity developmentEconomic developmentEntrepreneurshipHousingLocal foodsNatural resources conservationQuality of lifeTourism/recreation developmentTransportation/land useWorkforce development
Name *
Address *
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State *
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Phone *
Email *

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