Invest in Cook 2021 Grant Application

Municipality/Agency/Organization Name *

Project Name *

Question to Applicant *

Are you also applying to Cook County’s CDBG Capital Improvement program for this project?

Yes

No

CHIEF EXECUTIVE CONTACT INFORMATION

Please provide the following information for the mayor, president or executive director for this organization.

Executive First Name *

Executive Last Name *

Executive Title *

Executive Email Address *

Executive Phone *

PROJECT CONTACT INFORMATION

Please provide the following information about the Project Contact who will be the primary contact for this submission.

Contact First Name *

Contact Last Name *

Contact Title *

Contact Email Address *

Contact Phone *

PROJECT INFORMATION

Please complete the following fields about your project:

Total Amount Requested *

Total Phase Amount *

Total Project Amount *

Council of Mayor(s) *

Project Type *

If other project type, please describe

Project Phase *

If other project phase, please describe

Project Summary Paragraph *

A brief summary of the project - limit 1000 characters.

FILE UPLOADS

Use the following section to upload the required files for this submission. Please have ALL your files ready to upload when you submit your application. All files marked as required must be uploaded to submit your application.

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