Skip to content
2023 HSTCC Community Needs Survey for CEDS
*
1.
Full Name:
(Required.)
*
2.
Email Address:
(Required.)
*
3.
Phone Number:
(Required.)
4.
What type of entity do you represent?
County Government
City Government
School District
Utility District
Other (please specify)
5.
Name of Entity:
*
6.
Which County is your need located? (Select all that apply)
(Required.)
Barton
Jasper
Newton
McDonald
7.
Which City your need located? (If applicable)
8.
What type of project(s) are you most interested in? (Select all that apply)
General Infrastructure
Industrial Infrastructure
Water/Wastewater
Demolition
Emergency
Disaster Recovery
Housing
Community Facilities
COVID-19 Economic Recovery
9.
If you have a project in mind, please describe the location of the need as specifically as possible. Include crossroads and/or landmarks if possible.
*
10.
If you have a project in mind, please describe the need itself. If available, include other entities that may be involved (Ex. MoDOT and Counties).
(Required.)
*
11.
Has this need already been identified in your community? If so, please list if this need is High, Medium, or Low for your county or community?
(Required.)
High
Medium
Low
Community has not identified need
Unsure
12.
Is your county or community willing to participate in the costs to address this need? (Ex. Matching funds, staff time)
Yes
No
Unsure
13.
Has an engineering report been conducted for this project?
Yes
No
Unsure
If yes, what is the estimated cost associated with the project?
14.
Does your project require land acquisition?
Yes
No
Unsure
15.
Other Areas of Need or Recommendations:
