LGAA Application

Application Contact Person

Title

Name of Municipality

Daytime Phone Number

Contact Email

Title of Project or Program

A. GENERAL QUESTIONS - PLEASE RESPOND TO ALL - When addressing criteria regarding project outcomes (e.g., cost savings, benefits or improvements), please quantify results using data where possible).

1. Please describe the project or program, explaining how and why it was developed.

2. What was the total cost of the project or program?

3. How much, if any, of the total cost was funded by outside sources, such as State or Federal grants or loans?

4. To what extent can this project be duplicated by other municipalities?

5. Briefly provide a description of how this project or program has affected the residents of your community by improving their quality of life.

6. Briefly describe the project or program's innovative qualities.

B. ADDITIONAL QUESTIONS - Please respond to all questions that are applicable to your project or program.

1. Provide a description identifying the service improvements to your municipality resulting from this project or program.

2. In what ways has this project or program resulted in any cost or time savings for your municipality?

3. Describe any long-term economic benefits this project or program will bring to your community.

4. Describe any public and/or private partnerships that were utilized for this project or program.

5. Explain the next phase of the project or program and plans for future growth.

Please feel free to attach any materials, diagrams, photos, and/or documents you feel would benefit your application. Please note that your attachments may NOT EXCEED 1M/each. Questions regarding the program itself should be directed to Eileen Silva or by phone at (518) 463-1185.

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