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Please begin the application by first downloading and thoroughly reading the Application Package. The package includes information on the program, specific instructions on answering the questions, additional information you may need while completing the application and fillable budget worksheets.
Address or specific description
To be eligible for CDBG funding, a project must qualify as an eligible activity under the CDBG Program. Check the category that applies to your project.
To be eligible for CDBG funding, a project must meet the HUD National Objective of benefit to low- and moderate-income persons. Select the National Objective that applies to your project, descriptions can be found in the application instructions.
Describe the proposed project and the work to be performed. Include the purpose for the project, the needs or problems to be addressed, how the needs were determined, how will success of the project be determined, etc. Provide as much detail as possible.
The U.S. Department of Housing and Urban Development (HUD) has instituted performance measures to determine the effectiveness of programs funded with CDBG. Information obtained on the local level will be reported to HUD which will enable HUD to describe performance results at the National level. HUD's outcome performance measurement system has three objectives and three outcomes which are listed in the following questions.
Descriptions provided in instructions
Please indicate the status of the project site. You will be asked to attach documentation of site control at the end of the application; Attachment L.
Does this project require temporary or permanent relocation or moving occupants of a structure?
Including timetable, notification to seller and occupants
Federal regulations require that all facilities and/or services assisted with CDBG funds be accessible to the disabled, whenever feasible.
Do you notify the public that you do not discriminate based on race, color, religion, gender, sexual orientation, nation or origin, age or disabilities in hiring practices or provision of services?
Please list the year(s) of the award(s) and the amount(s)
Please include the following:
A. Background – Include the length of time the agency has been in operation, date of incorporation, the purpose of the agency and type of corporation.
B. Describe all services and programs offered. If a license to operate your agency is necessary, submit a copy of the license.
C. Describe the agency’s existing staff positions and qualifications.
D. Do you have a personnel policy manual with an affirmative action plan and grievance procedure?
E. Describe the agency’s fiscal management including financial reporting, record keeping, accounting systems, payment procedures and audit requirements.
F. Provide evidence of financial accountability such as a recent audit or annual accounting with balance sheets.
*Note: Audit Requirements – CDBG Loan Recipients must comply with the Office of Management and Budget SuperCircular 6 2 CFR Part 200, Uniform Administrative Requirement, Cos Principles, and Audit Requirements.
If you are approved for funding and have answered YES to any of the above questions, a disclosure notice must be issued and a 15-day public comment period must be held prior to execution agreement or release of funds.
Please attach fully completed budget worksheets (right)
Please attach the required materials below
Documents recognized by the State as formally establishing a private corporation, business or agency. (501 (c)(3) documentation)
Non-profit organizations must submit tax-exemption determination letters from the Federal Internal Revenue Service
A list of the current Board of Directors or other governing body of the agency must be submitted. The list must include the name, telephone number, address, occupation or affiliation of each member and must identify the principal officers of the governing body.
An organization chart must be provided which describes the agency’s administrative framework and staff positions, which indicates where the proposed project will fit into the organizational structure, and which identifies any staff positions of share responsibility.
This field is not part of the form submission.
* indicates a required field