City of Neenah

2023 Community Development Block Grant (CDBG)

Application

Please answer the following questions within the space allotted. Contact Carol Kasimor at 920-886-6128 or e-mail ckasimor@neenahwi.gov with any questions.

Name of Applicant:

Project/Program Title

Applicant's Mailing Address:

Applicant's Street Address:

Address or Location

Name of Contact:

Phone Number:

Email:

Total Amount of 2023 City of Neenah Community Development Block Grant funds being requested:

I. ORGANIZATION

1. MISSION: Provide a brief description of your organization and its overall mission or purpose and its major activities. Have the mission or activities changed from 2022 to 2023? (2000 Character Limit)

2. ISSUES/CHALLENGES: Describe any significant issues/challenges that the organization faces in carrying out its mission. (400 Character Limit)

3. USE OF THE FUNDS: Specify which project is proposed to be funded with CDBG funds: (400 Character Limit)

II. PROJECT DESCRIPTION

1. What is the objective and the impact of the proposed project? What needs are addressed by the project? (600 Character Limit)

2. What activities will you undertake to meet the project objective? (600 Character Limit)

3. What is the number of persons or households that you project will receive direct benefit from the proposed project, their category of income, and any other significant characteristics? If the organization was funded in 2022, has the number of beneficiaries to be served in 2023 changed from 2022? (50 Character Limit)

4. How do you measure program effectiveness? Please describe program outcomes of the prior year. (600 Character Limit)

5. How is this project coordinated with other programs, either within your organization or with other agencies? (400 Character Limit)

6. Are there services or projects similar to your organization’s being offered to City of Neenah residents? If so, please describe. (400 Character Limit)

III. FINANCIAL INFORMATION

1. Total cost of project for which CDBG funds are being requested:

2. Itemize project expenses for which the CDBG funds are being requested: (400 Character Limit)

3. Identify what other resources will be devoted to the specific 2023 project for which CDBG funds are requested. List the source, amount and if this is restricted.

4. Describe the rationale for the amount being requested. If the project was funded in 2022, please explain any changes to the amount being requested in 2023. Has the per unit cost changed from 2022, if applicable? Please explain. (500 Character Limit)

5. What would be the effect on the project if this proposal does not receive the CDBG funding requested? What actions would the program take to meet funding gaps? (500 Character Limit)

IV. Authorization of Application Submission

Name of Signer:

Title:

Date: