Infrastructure Needs Survey
In anticipation of potential legislation regarding President Trump's infrastructure outline, Buckeye Hills is seeking information on specific projects that may be candidates for potential programming. This effort is focused on gathering information to build a regional case for investment; completing this form does not constitute an application for funding.

For further information or questions about this effort, please contact Development Director Bret Allphin at ballphin@buckeyehills.org.

Project Name *
Your answer
Project Description *
Do not repeat the name or describe the location; be as specific as possible.
Your answer
Project Location *
Please provide the nearest street address for the location of the proposed project.
Your answer
Project County *
Required
Project City/Village *
City or Village where the project is located, if outside a municipality record as 'unincorporated.'
Your answer
Is this a regional project? *
Indicate whether multiple counties or communities will benefit from this project.
Responsible Entity *
Which entity will be the potential funding applicant and responsible for the successful implementation of this project?
Your answer
Responsible Entity Type *
Required
Type of Activity *
Indicate which general category most closely represents your project activity.
Required
Primary Need for the Project *
Describe the motivation for the completion of the proposed project.
Required
When is the Project Needed *
If funds were available, when would the project need to commence to meet the identified need?
Required
Estimated Total Project Cost *
Enter the estimated total project cost below (numbers only).
Your answer
Are Matching Funds Available *
Most grants require an investment of matching funds that will secure the requested funding. Are matching funds available for the proposed activity?
Matching Funds Status - If YES
If you indicated that matching funds are available for your proposed activity, indicate their status below.
Matching Funds Status - If NO
If you indicated that matching funds are not available for your proposed activity, indicate any potential sources you are aware of or are considering.
Your answer
Current Project Status *
Describe the current activity level of the proposed project.
Project Contact Name *
Your answer
Project Contact Title *
Your answer
Project Contact Organization *
Your answer
Project Contact Email *
Your answer
Project Contact Telephone *
Your answer
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