City of Newnan ARPA Funding Application

Applicant Information

Organization Name (if applicable):

Additional Applying Organization(s):

Phone Number

Organization Purpose, Mission, Objectives (if applicable):

Employer Identification Number (EIN) - (if applicable):

DUNS Number (if applicable):

Expenditure Category Applied:

If selected category (1.12, 2.13, 3.5, 3.13, 5.17) contains "other" please explain this selection and determination below.

Project Proposal Questionnaire

Project Title (5 words or less, may include acronyms)

Affiliated Organization(s) and Leader(s)

Project Description

Why does the chosen Expenditure Category best describe your project?

Proposed Funding Amount

Proposed Timeline

The provided indicator chart serves as a guide to create strategic goals, these are described as specific measurable, goals, outcomes, or impacts. Use the chart to describe the inputs, output, outcomes, and impacts the proposal will have.

Indicators

Metrics: Specific, measurable characteristics, actions, or conditions used to track progress.

Inputs	Outputs	Outcomes	Impact
Resources: The financial, human, and material resources used.	Actions: The programs, products, and services performed.	Achievements: The short-and-medium-term effects that you aim to achieve.	Long-term effects: Positive and negative long-term effects - either intended or unintended, direct or indirect.

Please list your strategic goals.

How will the proposal have a positive impact on the City of Newnan?

Does the project seek to make a targeted impact within a disadvantaged population in the City of Newnan, such as a Census Bureau defined Qualified Census Tract? If so, How?

What is/are the specific geographically boundary/boundaries within the City of Newnan does your project focus on? Please provide a very specific description. (Provide street names, addresses, QCT numbers, etc.)

Applicants should demonstrate their capabilities to implement the project and the competencies of the staff assigned to the project to include the financial management of funding. The applicant should detail the level of support for the project, as well as the expertise of the individual(s) who will be responsible for managing the project.

Were Newnan residents involved in the development of this proposal? How?

Will Newnan residents be involved in driving project implementation? How?

What organization/entity would administer and report on key indicators for this project, who within the organization will be the primary contact?

Which partner organizations will be involved in a project implementation?

Will you seek other resources of funding sources in to use conjunction with this proposal?

Use of evidence - What research, data, and other forms of evidence serve to explain the problem your project aims to address and the actions you plan to take to address the problem?

Additional Supporting Documentation

Applicants may upload up to five (5) documents to the application, any additional supporting information should be emailed to the ARPA Special Projects Manager at arpaproposals@cityofnewnan.org.

For Organizations please submit most recent IRS Tax Filing

For Individual Applicants please submit proof of residency within the City of Newnan

Applicants should submit a proposed/anticipated line item budget

Applicants should submit a budget narrative. Budget narratives should explain how the costs associated with each line item or category relate to the implementation of the project as outlined in the proposal being submitted. If your proposal contains multiple projects or sub-awards, you can provide a breakdown per project as well in your budget narrative.

Applicants may also submit letters of support, excel documents detailing total budget request and sub-award budgets, project or sub-award breakdown, etc. If applicants have any engineering or project plans, they can attach this under the general document tab, which can support multiple documents.

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