Rural Opportunities Fund online application | Community Futures Pan West

COVID-19 REGIONAL RELIEF AND RECOVERY FUND
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Project Overview
Indicate the Community Futures Region(s) where your project will take place*
Provide the physical address or geographic location(s) where the project will primarily take place*
Project Applicant Organization(s) Profile
What is the legal name of the Applicant or Applicant CFs?
CF Legal Name*
Address*
Street Address Address Line 2 City PR Postal Code
CF Legal Name
Address
Street Address Address Line 2 City PR Postal Code
CF Legal Name
Address
Street Address Address Line 2 City PR Postal Code
CF Legal Name
Address
Street Address Address Line 2 City PR Postal Code
CF Legal Name
Address
Street Address Address Line 2 City PR Postal Code
What is the mailing address of the host/lead Applicant CF organization?
Sponsor Applicant CF Organization*
Address*
Street Address Address Line 2 City PR Postal Code
Project contact information
Who is the primary contact for the project?
Name*
First Last
Title*
Phone*
Email*
Who is the signatory for the sponsor organization?
Name*
First Last
Title*
Phone*
Email*
Do you have any non-CF project partners associated with your project?*
- Yes
- No
If yes, please list in-kind and/or monetary partners you are working with on this project, including contact names and related details.
Name of partner
Contact name
Contact position
Name of partner
Contact name
Contact position
Name of partner
Contact name
Contact position
Name of partner
Contact name
Contact position
Project details
Project 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
Estimated project start date*
Date Format: MM slash DD slash YYYY
Estimated project end date*
Date Format: MM slash DD slash YYYY
Full project duration (months)*
Please enter a number from 1 to 48.
Is the project ready to commence immediately upon receipt of funding?*
- Yes
- No
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*
Will project activities be ongoing after the estimated end date?*
- Yes
- No
If yes, please describe how
Budget
(Minimum project funding request per eligible CF is $25,000 / maximum of $300,000)
Please download the attached Excel spreadsheet and complete the detailed budget BEFORE submitting your completed application. Upload the completed spreadsheet below.

If you need time to complete the spreadsheet, go to the very bottom of the application and click on the "Save and Continue later" link.

DOWNLOAD SPREADSHEET FILE
Upload completed spreadsheet file here*
Accepted file types: xlsx, xls.
Funding through the ROF Project*
What is the total project cost?*
What is total financial contribution from applicant and/or partners?*
Are other organizations providing funds or lending money regarding this project?*
- Yes
- No
If yes, please list all sources of funds to be used to complete the project. Please specify cash and in-kind.
Funding source
Amount
Status of funding
- Confirmed
- Unconfirmed
Funding source
Amount
Status of funding
- Confirmed
- Unconfirmed
Funding source
Amount
Status of funding
- Confirmed
- Unconfirmed
Funding source
Amount
Status of funding
- Confirmed
- Unconfirmed
Funding source
Amount
Status of funding
- Confirmed
- Unconfirmed
TOTAL (should match total uses of funds below)
Please indicate how the funds will be used.
Use of funds (expense)
Amount
Use of funds (expense)
Amount
Use of funds (expense)
Amount
Use of funds (expense)
Amount
Use of funds (expense)
Amount
TOTAL (should match funding sources above)
Project application documents
Do you have any other documents that should be attached to support your application?*
- Yes
- No
(ie: support letters, Partnership letters etc.)
File
Drop files here or

Accepted file types: doc, docx, pdf, xls, xlsx, zip.
Please name the files in a meaningful, descriptive way so we can match the file to its purpose. File types allowed are .doc, .docx, .pdf, .xls, .xlsx, .zip
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:
1. All information contained herein is correct and complete to the best of my/our knowledge.
2. 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.
3. 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.
*
I have read the Agreement above and agree to all the terms therein
On behalf of the Applicant CF organization(s):
Name*
Title*
Date*
Date Format: MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

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