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Assessment Criteria

Please provide information for a primary and secondary contact for this project, as well as information about the organization or neighborhood association behind the project. Two contacts are required.
Primary Contact*
Primary Contact Phone*
Primary Contact Email
Primary Contact Address
Zip Code
Secondary Contact*
Secondary Contact Phone*
Secondary Contact Email
Secondary Contact Address
Zip code
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Proposed Start Date*
Proposed Start Date
Proposed Completion Date*
Proposed Completion Date
Please provide:
1. 1.) A brief summary of the program or project to be completed;
2. 2.) The nature and makeup of your neighborhood and how many people will directly benefit from the program or project;
3. 3.) Who the program or project will benefit; and
4. What need, issue or goal the program or project will address.
Be sure to describe how the project ties into the “Proposal Review Criteria” outlined on the first page. Include a separate document if necessary.
Alternatively, you can upload a file with the project description.
Please describe how the program or project will be carried out. Include a proposed timeline and information about individuals who will be organizing and accomplishing the work. Reminder: Neighborhood Empowerment Grant money comes from the FY18-19 city budget. Money becomes available after January 28, 2019 and must be disbursed and spent before December 16, 2019.
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Budget Worksheet*
Attach a Neighborhood Empowerment Grant Budget Worksheet to describe your project budget in detail.
Grant Amount Requested*
Cash Match*
In-Kind Budget*
Total Budget*
Who will be responsible for managing the financial accounts and record-keeping required to receive grant payments?
Name*
Address
Phone*
Email
Have you applied, or do you intend to apply for other city grants for this proposed project or program?*
1. Yes
2. No
Which grant programs?

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