Active Allegheny Grant Program Application

General Information

PageID: 164

Project Information

Project Title*

Type of Project*

Lead (or Sole) Applicant Information

GrpID: 1793

Legal Name of Lead (or Sole) Applicant*

Address*

GrpID: 1795

City*

GrpID: 1796

State*

GrpID: 1797

Zip Code*

GrpID: 1794

Contact Person*

Title

Phone*

Fax

Email*

Municipal Information

PageID: 165

Municipalities

For joint municipal applications, list all participating municipalities.

GrpID: 1786

GrpID: 1787

Municipality*

Contact*

Title

GrpID: 1788

Address*

GrpID: 1798

City*

GrpID: 1799

State*

GrpID: 1800

Zip Code*

GrpID: 1801

Phone*

Email Address*

Add Another (Max: 20)

Project Description

PageID: 166

Description

Describe the scope and nature of the proposed project.*

What is the goal of the project?*

Describe the reason for undertaking the project at this time.*

Describe how this project will result in increased opportunities for physical activity and create pedestrian and bicycle connections to existing transportation systems and community destinations?

What is the target population of potential beneficiaries of this project?*

Engagement

Is the project identified in and/or consistent with a local plan such as comprehensive plan or a local bicycle and pedestrian plan?*

If yes, please describe the connection. Note: Consistency is defined as “an agreement or correspondence between matters being compared which denotes a reasonable, rational, similar connection or relationship.” (PA Municipalities Planning Code, 2015, page 2)

Is the project consistent with, or recommended in, Active Allegheny or the transportation element of Allegheny Places?*

If yes, please describe the connection.

Describe how citizen participation will be obtained and/or has already been obtained through earlier phases of the project.*

Describe the stakeholders that will be engaged in the project and/or have already been engaged through earlier phases of the project.*

Schedule

PageID: 168

Project Schedule & Timeline

Provide a detailed project schedule with a timeline of activities including beginning date, key milestones, and estimated completion date.

GrpID: 1791

Activity Name*

GrpID: 1792

GrpID: 1805

Milestone*

GrpID: 1806

Start Date*

GrpID: 1807

Completion Date*

Add Another Milestone (Max: 255)

Add Another Activity (Max: 255)

Project Budget Worksheet: Sources and Status

PageID: 167

Budget Worksheet

In addition to providing budget information in the table below, please provide a brief budget narrative, including detailed explanation of additional sources of funding. Expand on budget line items if necessary and explain how estimates were derived.

GrpID: 1810

Budget Narrative*

Source: AAGP

GrpID: 1815

GrpID: 1813

Budget Item*

GrpID: 1814

Amount*

Add Another Budget Item (Max: 255)

Other Funding Sources

Source Name

GrpID: 1820

GrpID: 1821

Budget Item

GrpID: 1822

Amount

Add Another Budget Item (Max: 255)

Add Another Funding Source (Max: 255)

GrpID: 1824

GrpID: 1825

GrpID: 1826

Total Amount*