Rural Opportunities Fund Online Application | Community Futures Pan West

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Please download the attached Excel spreadsheet and complete the detailed budget BEFORE submitting your completed application. Upload the completed spreadsheet below.

DOWNLOAD SPREADSHEET

Upload Completed Spreadsheet*

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Project Overview

Indicate the Community Futures Region(s) where your project will take place*

Please include the region

Provide the physical address or geographic location(s) where the project will primarily take place*

Please include location

Project Applicant Organization(s) Profile

What is the legal name of the Applicant or Applicant CFs?

CF Legal Name*

Please include name.

CF Mailing Address (incl. Postal Code)*

Please include complete mailing address, including postal code

What is the mailing address of the host/lead Applicant CF organization?

Sponsor Applicant CF Organization*

Please include name.

Sponsor Applicant CF Mailing Address (incl. Postal Code)*

Please include complete mailing address, including postal code

Project Contact Information

Who is the primary contact for the project?

First and Last Name*

Please include name.

Title*

Please include title.

Phone Number*

Please include phone number

Email Address*

Please include a valid email address.

Who is the signatory for the sponsor organization?

First and Last Name*

Please include name.

Phone Number*

Please include phone number

Email Address*

Please include a valid email address.

Do you have any non-CF project partners associated with your project?*

Yes

No

Please select

Project Details

Project Title*

Please include title.

Provide a description of the project, including specifics around what the project intends to accomplish and what work and actions will be completed. Please also describe the community/region need and how the project addresses: business retention; business succession; local solutions to local community challenges related to COVID-19*

Please include details

Estimated project start date*

Please include start date

Estimated project end date*

Please include end date

Full project duration (months)*

Please include duration, in number of months

Is the project ready to commence immediately upon receipt of funding?*

Yes

No

Please select

Indicate the key milestones and associated deliverables that support the intended project actions and accomplishments as well as an approximate timeline for each component of the project leading to completion*

Please include details

Will project activities be ongoing after the estimated end date?*

Yes

No

Please select

Budget

(Minimum project funding request per eligible CF is $25,000 / maximum of $300,000)

Funding through the ROF Project*

Please include amount

What is the total project cost?*

Please include amount

What is total financial contribution from applicant and/or partners?*

Please include amount

Are other organizations providing funds or lending money regarding this project?*

Yes

No

Please select

Project Application Documents

Do you have any other documents that should be attached to support your application?*

Yes

No

Please select

File Upload (allowed types: docx, xlsx, pdf, zip)*

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Please name the files in a meaningful, descriptive way so we can match the file to its purpose.

Project Submission Agreement

By submitting this Application, I/we confirm that I/we have the authority to submit this request and agree to the conditions described below:

All information contained herein is correct and complete to the best of my/our knowledge.
Awarding of ROF project funding to successful applicants will be conditional upon finalization of the approval agreement that sets out the terms and conditions of the ROF project funding.
I/we consent to receiving email notifications regarding this application and any subsequent emails from the Community Futures Pan West Network Inc. or from those working on behalf of the Rural Opportunities Fund Project relating to this application.

NOTE: Applications submitted under the program are subject to the Freedom of Information and Protection of Privacy Act. The information being collected is for the purpose of administering the project and will be used for the purpose of evaluating eligibility under the project.

Project Submission Terms Confirmation*

I have read the Agreement above and agree to all the terms therein

Please review

On behalf of the Applicant CF organization(s):

Name*

Please include name.

Title*

Please include title.

Date*

Please include date

*

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