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Shoshoni Economic Development Application
Business and Organizational Opportunity and Support for Tomorrow (BOOST)
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Email
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Your email
Applicant Name
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Your answer
What Source of Funding are you seeking?
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TAD
Economic Development
Combination
Name of Project
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Your answer
Overall Project Cost
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Your answer
Total Amount of Funding Requested
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Your answer
Total TAD Funding Requested
Your answer
Total Economic Development Funding Requested
Your answer
Mailing Address (Street or PO Box, City, State, Zip
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Contact Person
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Your answer
Type of Organization
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Business (Incorporated, LLC etc...)
Home Business
Organization or Non-Profit
Individual
Describe the project which funding is being requested
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Your answer
Project located within Shoshoni?
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Choose
Yes
No
Does the project provide potential access to new customers outside of Shoshoni?
Yes
No
Clear selection
Describe how project will bring new people to Shoshoni
Your answer
Will the project expand or increase business activity in Shoshoni? If so will it create additional permanent jobs?
Your answer
If equipment purchase is being requested, who will owe the assets purchased and/or what is the ownership structure?
Your answer
If funding is provided and costs increase beyond estimate how will additional costs be funded?
Your answer
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?
Your answer
Describe how the project will result in net economic activity within Shoshoni
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Your answer
Describe any additional benefits the project will provide for Shoshoni
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Your answer
Provide a timeline of project schedule
Your answer
Please provide a total budget and costs related to the project being requested
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Your answer
If applying for a new business or expanded services of existing business, provide a business plan or financial projects
Your answer
Jobs created from project.
Your answer
Jobs retained from project.
Your answer
Estimate of new economic activity in Shoshoni as a result of project
Your answer
A copy of your responses will be emailed to the address you provided.
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