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Statewide Broadband Planning Assessment
1.
Contact & Community Information
Organization
Name
Phone
Email
City/Town
Legislative District
2.
Broadband Project Information
Broadband Project Name (if known)
Project Manager/Consultant (If known)
Project Manager/Consultant Phone
Project Manager/Consultant Email
3.
Please indicate the status of your current broadband projects
Community Outreach/Feasibility Study
Network Planning
Ready for Construction
Other (please specify)
4.
Estimated Project Duration (in months)
5.
Estimate Total Project Cost
6.
Do you have a funding source for your project? If so, please describe?
7.
Have you created a community or broadband action team?
8.
If you have a community or broadband action team, describe the types of participating entities
Local/Gov't
Schools
Libraries
Tribes
Health Clinic/Hospitals
Public Safety
Emergency Management
Economic Developments
Local Internet service providers
Other (please specify)
9.
If you don't have a broadband action team, what is your plan for engaging community members in your broadband planning?
10.
Please describe the proposed broadband service area
11.
How many residences, businesses, farms, public safety agencies, hospitals, schools, and library service locations will be served by your plan?
12.
Outline any known policy and/or regulatory impediments to the expansion of broadband in the proposed service area:
13.
Describe any additional relevant factors that further motivate this project?
14.
Describe the economic benefits of the project and how those benefits will be measured?
Current Progress,
0 of 14 answered
