Community Development Block Grant Project Eligibility Application Fields with a red dot ⏺ are mandatory. Agency Information Applicant/Organization Name Project Name Contact Person and Title Contact Person E-Mail Address Contact Person Phone Number Use format xxx-xxx-xxxx. Agency/Organization Type Non-ProfitGovernmentHousing Authority SAM Registration yes no SAM Registration Information If yes, please provide your SAM Registration. Does the Agency have any open monitoring findings with the City? yes no Open Monitoring Findings with the City If yes, please provide narrative of findings and corrective action being taken to remedy findings. Is this a new project? yes no Have you ever received CDBG funding for this type of activity? yes no Project Type Public ServiceCapital ImprovementAcquisitionRehabilitation/PreservationEconomic Development/Micro EnterprisePlanning/AdministrationCode EnforcementPublic FacilityAffordable Housing Please note at this time applications will not be accepted for Public Service Activities. Project Description and Need for Proposed Project Limit to 500 words (including number of people to be served, how beneficiary qualification will be determined). Describe Agency capacity to carryout project. Limit to 350 words. Funds Request Amount Requested Total Amount CDBG Funds Requested. Will applicant accept partial award of funds? yes no If yes, describe how the project will be modified to accommodate partial funding. Funds Use Low/Mod BenefitSlum/BlightUrgent Need Describe the use of funds. Attach Proposed Budget Form Download the Funding Eligibility Budget Form in Excel format. Download, fill out, and upload this form in the field above. Will the CDBG funds be used as gap funding? yes no If so, has other funding been secured? yes no If yes, please indicate on Budget Form. Eligibility Applications for projects that do not meet the below CDBG requirements will not be considered for funding. What National Objective will the activity meet? Providing a Benefit to Low- to Moderate Income PersonsMeeting an Urgent NeedEliminating Slum or BlightNone of the Above Describe how the proposed project will meet a National Objective What Matrix Code applies to the activity? Open a PDF of the Matrix Code Definitions in a new window. Please choose a matrix code from the link. Conformance with Consolidated Plan Goals Open a pdf of the 2023-2028 Consolidated Plan in a new window. What Consolidated Plan Priority will the activity meet? Affordable Housing PreservationAffordable Housing DevelopmentAffordable Homeownership OpportunitiesHomeless Prevention ProgramsPublic Facilities and InfrastructurePublic ServicesEconomic Development OpportunitiesHomeless Services and Programs Fair Housing Education and AwarenessProgram Administration Please see the 2023-2028 Consolidated Plan pages 132-145. What Consolidated Plan Goal does the project meet? Preserve the current affordable housing supply in AlbuquerqueIncrease access to safe, decent and affordable housing for low- to moderate-income residentsCreate affordable homeownership opportunities for low-to moderate-income residentsIncrease access to homeless prevention programsReduce homelessness through access to homeless services and programsEnhance and develop public facilities and infrastructure in AlbuquerqueImprove access to public services for low- to moderate-income residentsIncrease economic development opportunities for low- to moderate-income residentsEfficiently administer program funding and reporting Please see the 2023-2028 Consolidated Plan pages 160 – 166. Provide a description of how this activity meets a Consolidated Plan Goal. Limit to 300 words. How will beneficiaries be qualified to receive services? Low-Mod Area Benefit – Please attach map of proposed service areaLod-Mod Limited Clientele – Income Certification (Part 5 or Form 1040 method) Presumed Beneficiary (Elderly, Homeless, Abused Children, Battered Spouses/Domestic Violence survivors, Severely Disabled Adults, Illiterate Adults, Persons living with HIV/AIDS, Migrant Farm Workers) Provide narrative describing process of qualifying beneficiaries including the number of persons/households/beneficiaries that will be served through the activity. Limit 300 words. Can this project be completed in 12 months? yes no If no, please explain. Monitoring Requirements 1. Explain how the applicant will collect, maintain and report records documenting that expenses for the project are eligible for reimbursement. Limit to 350 words. Captcha Submit Please confirm all required fields are populated before submitting your form. Fields with a red dot ⏺ are mandatory. Your form is not submitted until you click the Submit button and see the confirmation page which includes a recap of your completed form fields. If you do not see this page please double check that your upload is smaller than 8 MB. Uploading files that are larger than 8 MB will result in a failed submission.
