Potential applicants are encouraged to submit a statement of intent to apply for funding to participate in CACHI. This is non-binding. Applicants submitting a statement of intent may choose not to apply and applicants not submitting a statement of intent may still apply.
 
Applicants submitting on behalf of a collaborative should complete and submit the form below. Each collaborative should only submit one statement of intent and application.

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* 1. Name of Applicant

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* 2. Applicant Organization Type

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* 3. Name of Primary Contact of Applicant

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* 4. Primary Contact Email Address

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* 5. What specific community, city, county, or region will your ACH focus on?

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* 6. Please provide a brief paragraph that summarizes your interest in the CACHI Funding Opportunity.*

Please click "DONE" to submit the Statement of Intent to Apply.

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