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Shoshoni Economic Development Application
Business and Organizational Opportunity and Support for Tomorrow (BOOST)
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Email *
Applicant Name *
What Source of Funding are you seeking? *
Name of Project *
Overall Project Cost *
Total Amount of Funding Requested *
Total TAD Funding Requested
Total Economic Development Funding Requested
Mailing Address (Street or PO Box, City, State, Zip *
Email Address *
Phone Number *
Contact Person *
Type of Organization *
Describe the project which funding is being requested *
Project located within Shoshoni? *
Does the project provide potential access to new customers outside of Shoshoni?
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Describe how project will bring new people to Shoshoni
Will the project expand or increase business activity in Shoshoni?  If so will it create additional permanent jobs?
If equipment purchase is being requested, who will owe the assets purchased and/or what is the ownership structure?
If funding is provided and costs increase beyond estimate how will additional costs be funded?
Please describe any additional funding source considered other than this application.  If funding is not awarded will the project still continue?  Or if partial funding is awarded will the project continue?
Describe how the project will result in net economic activity within Shoshoni *
Describe any additional benefits the project will provide for Shoshoni *
Provide a timeline of project schedule
Please provide a total budget and costs related to the project being requested *
If applying for a new business or expanded services of existing business, provide a business plan or financial projects
Jobs created from project.
Jobs retained from project.
Estimate of new economic activity in Shoshoni as a result of project
A copy of your responses will be emailed to the address you provided.
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