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Does your organization have a current System for Award Management (SAM) registration?
All recipients of federal funds are required to have a DUNS # and register in the SAM database. Information on how to do both is available here:
If your project is selected for funding, you must be registered prior to signing contracts.
II. APPLICANT DESCRIPTION:
III. NATIONAL OBJECTIVE:
For Projects that Benefit AREAS
A) If your project would serve a low/moderate income area (i.e. capital or physical improvements), describe the location of the project or the area to be served (see qualifying area map below).
B) For Projects That Benefit PERSONS. Provide information that demonstrates your project or program (i.e. public service projects) will benefit a majority (51%) of low/moderate income persons (see low/moderate income limit charts). Because your project or program benefits PERSONS, you must also complete section C (below).
C) Describe how you will collect and document the income of your clientele to ensure that at least 51% of the beneficiaries will be low/moderate income. Please also indicate how you will document the race/ethnicity of all program participants, as well as the number of female-headed households, in accordance with HUD's reporting requirements. (Sample data collection forms are available for public service and housing rehabilitation, along with definitions on the race and ethnicity categories.)
IV. PROJECT DESCRIPTION:
Please provide the following information, as applicable.
A) Describe the project or activity for which funds are requested.
B) Describe the number of clients to be served and the expected outcome (results) of the project or activity.
C) Provide the planned location(s) where the project will be run/completed.
V. WHAT ARE THE ANTICIPATED START AND COMPLETION DATES FOR THE PROJECT?
(Please note: Public service projects must be completed and all funds expended by the end of the program year.)
VI. PROJECT BUDGET:
Please attach a line item budget detailing all project funding sources (secured/pending and amounts).
You have not uploaded a file. Please upload a file to continue.
Applications will be accepted until 4:30 p.m. on
FRIDAY, APRIL 7, 2017
For assistance or questions, please call Heather Guerette at 860-647-3106 or email at firstname.lastname@example.org
Legal Full Name (as you would sign):
Valid Email Address: