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Step One

Project Name*
Please use title caps.
Requesting Agency*
Must be either a non-profit entity or governmental agency.
Address*
City*
Zip Code*
Contact Person*
Contact Person's Title*
E-mail Address*
Phone Number*
Cell Phone
Project Description*
Please limit the initial project description to a few paragraphs. You will be given an opportunity to provide a more detailed description later in this form.
Amount of the Funding Request*
Total Project Cost*
Amount of Funding Available From Other Sources
Is this a one-time request?*
1. Yes
2. No
Entity Responsible for Ongoing Operation and Maintenance of this Project*
Expected Date of Completion*
Upload a Detailed Project Description and Justification
Please upload a Microsoft Word file. The description should explain how the project would improve infrastructure, any private sector tools utilized, investment in the future, support for essential services and/or cultural and recreation benefits.
Additional Uploads
Upload any pictures or PDFs that you would like attached in CAPSIS.
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