The name and rough boundaries of the area you are proposing for a BOA application:

Are you are seeking:
The City’s participation in a partnered application, or
A letter of support for an application you are submitting on your own

The step of the BOA process you propose to apply for (pre-nomination, nomination, or site assessment/implementation):

A description of your vision for the area and why you want to propose it for BOA funding:

The extent of the information you have about the area:

Basic information about your organization (main focus, how long in existence, annual budget, number of staff):

Are you are an eligible organization to receive BOA funding (501(c)3, 25% of board members live in your proposed area, brownfields redevelopment is part of your stated mission):

Your organizational capacity to manage BOA grant money (financial, recordkeeping, reporting, etc.):

Your track record of working with the City (With which agencies? When? References?):

Your track record of doing planning/development activities:

Your experience with brownfields:

Other local or Citywide CBO’s you propose to involve:

The names of elected officials you are working with or are supportive of your proposal:

Other comments / questions:

Contact information regarding your request (required):

Name:
Title:
Phone:
E-mail: