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Vision Partnership Program 2021 - Round 1
This form has been modified since it was saved. Please review all fields before submitting.
Steps
1.
Municipality Information
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This section is incomplete
2.
Contact Information
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3.
Project Type
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4.
Funding
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5.
Project Evaluation Criteria #1
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6.
Project Evaluation Criteria #2
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7.
Project Evaluation Criteria #3
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8.
Project Evaluation Criteria #4
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This section is incomplete
9.
Project Evaluation Criteria #5
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10.
Project Evaluation Criteria #6
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11.
Project Evaluation Criteria #7
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12.
Project Evaluation Criteria #8
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13.
File Uploads
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14.
Signature
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Municipality Information
Applicant
Single Municipality
Multi-Municipal
Municipality or Multi-Municipal Group Name
For Multi-Municipal Applications:
Lead Municipality
Other Municipal Participants
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Contact Information
Municipal Contact
Contact person must be from lead municipality for multi-municipal grants.
Consultant Contact
(if applicable)
Contact Person
Consulting Firm(s)
Title
Lead Planner
Address
Address
Email
Email
Phone Number
Phone Number
Fax Number
Fax Number
Municipal Financial Contact
Title
Email
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Project Type
Please check the appropriate box.
Plan adopted under the Pennsylvania Municipalities Planning Code
Ordinance adopted under the Pennsylvania Municipalities Planning Code
Planning Study
Project Name
Description
Consistency with the Pennsylvania Municipalities Planning Code:
Projects adopted under the Pennsylvania Municipalities Planning Code must comply with the requirements of the Pennsylvania Municipalities Planning Code.
I agree
N/A
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Funding
Grant Amount Requested from County:
Percent of Total Project Cost:
Total Municipal Funds for Project:
(shall equal no less than 10% of total eligible project cost)
Percent of Total Project Cost:
Total Non-municipal Funds for Project:
(other grants or funding sources)
Percent of Total Project Cost:
Identify other source(s):
Total Project Cost:
100%
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Project Evaluation Criteria #1
Consistency and Advancement of Landscapes3
Address the proposed project’s consistency with and/or advancement of each of the following Landscapes3 elements: 1 - goals (Preserve, Protect, Appreciate, Live, Prosper, Connect); 2 - map designations (such as Urban Center, Suburban Center, etc.); 3 - recommendations; focusing on the specific goals, map designation/s, and recommendation/s that are most appropriate to the proposed project
Weight: 20
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Project Evaluation Criteria #2
What achievements and impacts
Address what the project will achieve, including the degree and extent of positive impact the project will accomplish for the community, noting the populations served, community goals advanced (such as those identified in a comprehensive plan or other plan/study), and anticipated future conditions
Weight: 20
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Project Evaluation Criteria #3
Why needed now
Address why the project is needed now, including the reasons that create urgency in undertaking a planning project at this point in time
Weight: 10
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Project Evaluation Criteria #4
How implemented
Address how the project will be implemented after completion, including timing and specific methods to advance implementation
Weight: 10
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Project Evaluation Criteria #5
Multi-municipal
Address whether the project is being proposed by a multi-municipal group, the geographic extent that the project will serve and/or benefit, and coordination with any non-applicant municipality
Weight: 10
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Project Evaluation Criteria #6
Outreach and engagement process
Describe the outreach and engagement process for municipal officials (elected and appointed), the public, and partners for development of the plan/ordinance/study
Weight: 10
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Project Evaluation Criteria #7
Tasks, deliverables, and schedule
Describe the primary project tasks to achieve the project, the key deliverables to be developed, reviewed, and finalized, and the overall schedule, including key milestones (tasks and deliverables shall be described below; schedule only may be uploaded as a separate document after criteria responses)
Weight: 10
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Project Evaluation Criteria #8
Cost-effectiveness and economic factors
Describe the cost-effectiveness and economic factors of the project, including a comparison of the impact/return of the project relative to the overall cost, the impact/return relative to the county funding sought (including information on any municipal match contribution above the required minimum and any funding other than county or municipal contributions), and the economic need of the municipality
Weight: 10
Total points available: 100
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File Uploads
Upload Letter(s) of Commitment
Upload Consultant Qualifications (if applicable)
Upload Schedule (if not included within Criteria 7 response)
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Signature
Legal Understanding
As the authorized municipal representative, I hereby submit the preceding data and information in support of our application. I understand the rules and procedures as written in the Vision Partnership Program Cash Grant Manual, as revised, and agree to be bound thereby.
Signature
Date
Date
Name
Title: Designated Official or Similar
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Email address
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