Project Proposal Questionnaire - Community Development

This questionnaire seeks to gather information on community development projects in Crawford County, Ohio that may be eligible for Community Development Block Grant (CDBG) and other funding.

If you have any questions about this questionnaire, community development, or CDBG, please contact David Zak at 419.912.1150 (cell) or by email at davidz@crawfordpartnership.org.

Question Title

* 1. Applicant: Please enter the name of the local government, non-profit, or organization that is seeking funding.

Applicant Name

Applicant Address

Question Title

* 2. Contact Information: Please enter contact information for this project.

Name

Company

Title

Email Address

Phone Number

Question Title

* 3. Project Name: Please enter the name of the project.

Question Title

* 4. Project Description: Provide a detailed description of the project including the following information:

Timing

Purpose of the project

Existing conditions

Quantities and measurements of proposed improvements

Question Title

* 5. Project Location & Service Area: Describe location and service area. Please also email a copy of a map to partnership@crawfordpartnership.org identifying the location of the project to be completed and outlining the area/residences that will benefit from the project.

Question Title

* 6. Project Expenses & Cost Estimates: Provide a listing of the project expenses or categories and estimated costs. Provide email a copy of quotes or detailed cost estimates to partnership@crawfordpartnership.org, if available. Please note that estimates included in the County’s CDBG application must include federal prevailing wage.

Expense 1

Cost Estimate 1

Expense 2

Cost Estimate 2

Expense 3

Cost Estimate 3

Expense 4

Cost Estimate 4

Expense 5

Cost Estimate 5

Expense 6

Cost Estimate 6

Expense 7

Cost Estimate 7

Expense 8

Cost Estimate 8

TOTAL EXPENSES

Question Title

* 7. Project Expenses: Please add any additional information or clarification on project expenses here.

Question Title

* 8. Project Funding Sources: List funding sources with specific amounts and provide a commitment letter from each funding source, if available. Include amount of CDBG funding requested as well as total project cost.

Funding Source 1

Funding Amount 1

Funding Status (Committed, Requested, Exploring) 1

Funding Source 2

Funding Amount 2

Funding Status (Committed, Requested, Exploring) 2

Funding Source 3

Funding Amount 3

Funding Status (Committed, Requested, Exploring) 3

Funding Source 4

Funding Amount 4

Funding Status (Committed, Requested, Exploring) 4

Funding Source 5

Funding Amount 5

Funding Status (Committed, Requested, Exploring) 5

Funding Source 6

Funding Amount 6

Funding Status (Committed, Requested, Exploring) 6

TOTAL FUNDING (SOURCES)

Project Proposal Questionnaire - Community Development

Question Title

* 1. Applicant: Please enter the name of the local government, non-profit, or organization that is seeking funding.

Question Title

* 2. Contact Information: Please enter contact information for this project.

Question Title

* 3. Project Name: Please enter the name of the project.

Question Title

* 4. Project Description: Provide a detailed description of the project including the following information:

Timing

Purpose of the project

Existing conditions

Quantities and measurements of proposed improvements

Question Title

* 5. Project Location & Service Area: Describe location and service area. Please also email a copy of a map to partnership@crawfordpartnership.org identifying the location of the project to be completed and outlining the area/residences that will benefit from the project.

Question Title

Question Title

* 7. Project Expenses: Please add any additional information or clarification on project expenses here.

Question Title

* 8. Project Funding Sources: List funding sources with specific amounts and provide a commitment letter from each funding source, if available. Include amount of CDBG funding requested as well as total project cost.

Question Title

* 9. Project Funding: Please add any additional information or comments on project funding here.

Question Title

* 10. Real Estate: Will the project require the purchase of easements and/or property? If yes, please explain.

Project Proposal Questionnaire - Community Development

Question Title

* 1. Applicant: Please enter the name of the local government, non-profit, or organization that is seeking funding.

Question Title

* 2. Contact Information: Please enter contact information for this project.

Question Title

* 3. Project Name: Please enter the name of the project.

Question Title

* 4. Project Description: Provide a detailed description of the project including the following information: Timing Purpose of the project Existing conditions Quantities and measurements of proposed improvements

Question Title

* 5. Project Location & Service Area: Describe location and service area. Please also email a copy of a map to partnership@crawfordpartnership.org identifying the location of the project to be completed and outlining the area/residences that will benefit from the project.

Question Title

Question Title

* 7. Project Expenses: Please add any additional information or clarification on project expenses here.

Question Title

* 8. Project Funding Sources: List funding sources with specific amounts and provide a commitment letter from each funding source, if available. Include amount of CDBG funding requested as well as total project cost.

Question Title

* 9. Project Funding: Please add any additional information or comments on project funding here.

Question Title

* 10. Real Estate: Will the project require the purchase of easements and/or property? If yes, please explain.

* 4. Project Description: Provide a detailed description of the project including the following information:

Timing

Purpose of the project

Existing conditions

Quantities and measurements of proposed improvements