ATP Cycle 8 Technical Assistance Application

ATP Cycle 8 Technical Assistance Application

Contact Information

Your Name*

Your Title*

Your Email*

Your Phone*

Phone

Organization Name*

TA Cohort Category*

Please select the category that best describes your organization's context. TA recipients will receive assistance tailored to their particular context. (Rural areas are those with populations of 5,000 or less, Urban/Suburban areas are those with populations greater than 5,000, and Tribal Governments)

Select

Federal Recognition

Is the tribe federally recognized?

Select

Proposed Project Information

Project Type*

Select one.

Select

Active Transportation Mode*

Select all that apply

Select

Other Active Transportation

If the type of active travel your project supports was not listed in the previous question, please provide here.

Name of Potential Project*

Please provide a name for the project, program, or plan for which you are seeking technical assistance. (This name may change over time)

Project Summary*

Please provide a brief description of your project, program, or plan in 250 words or less.

Project Location*

Please provide a brief description of where the project, program, or plan will be located (ex. citywide, along Broadway between 10th and 30th Streets, etc.)

Lead Applicant*

Please provide the name of the entity that will be submitting the ATP application.

Partnering Agency (if any)

Please provide the names of agencies you intend to partner with for this project, program, or plan.

Community Based Organizations

Please list any Community Based Organizations that you have worked with or know of within the proposed project area.

Project Challenges*

Please describe challenges you expect to face with developing your project, program, or plan in 250 words or less.

Disadvantaged Community Qualifications

Project located in a disadvantaged community?*

Is your project located in whole or in part within a disadvantaged community (DAC)?

Select

DAC Criteria*

Select which tools was used to determine the DAC status of the community served by the project, program, or plan. Please refer to the ATP Guidelines for Cycle 7 on the CTC's website here for further details.

Select

Benefits a Disadvantaged Community

If your project or program is not located in a disadvantaged community, but you believe that it will benefit nearby communities that do qualify as DAC, please explain here.

ATP Application History

Previous Application Submitted*

Has your organization submitted an application to the ATP for a different project, program, or plan in the past?

Select

Previous ATP Award Received

Has your organization ever been awarded ATP funds?

Select or enter value

Previous Project Name

Please indicate project name, and ATP cycle or year awarded for each funded project.

Previous Application Submitted for THIS Project*

Has your organization previously submitted an ATP application and not been selected for the project, program, or plan for which you are seeking technical assistance?

Select

How many attempts?

How many times has your organization submitted an application to the ATP for this project, program, or plan?

Other Technical Assistance*

Are you receiving any other form of technical assistance (including free, subsidized, or a fee-for-service provider)?

Select

Description of Technical Assistance

Technical Assistance Services Needed*

Please indicate which of the following TA services you would utilize if made available to you for your project. (select all that apply)

Select

Other Services Not Identified

If you have technical assistance needs for other services not listed in the previous question, please briefly describe them here.

Project Readiness for ATP Cycle 8

ATP Cycle 8*

Do you intend to submit an application for ATP Cycle 8?

Select

ATP Cycles Beyond Cycle 8

Do you intend to submit an application for a future ATP cycle after Cycle 8?

Select

Send me a copy of my responses

Privacy Notice|Report Abuse