Brooklyn Borough President Eric L. Adams' Fiscal Year 2020 (FY20) Online Capital Budget Application
Welcome to Brooklyn Borough President Eric L. Adams’ Online Capital Budget Application.

Should you have any questions about the application, please contact Josh Levin at (718) 802-3853 or joshualevin@brooklynbp.nyc.gov.

Please thoroughly review the directions below before beginning your Online Capital Budget Application:

1) The questionnaire must be completed in one sitting. You will *NOT* be able to save and return to your questionnaire.

2) Please review the *ENTIRE* application before you begin answering questions.

3) You *MUST* answer all required questions (denoted with a red asterisk) in order to submit your application.

4) If a given question is not applicable to your project, select or enter "Not Applicable."

5) Before you click "Submit," make sure to print a copy of your application for your records.

6) Once you have submitted your application, you should also PRINT THE CONFIRMATION PAGE FOR YOUR RECORDS.

All requests for capital funding from the Office of the Brooklyn Borough President MUST be submitted via the Brooklyn Borough President’s Online Capital Funding Application.

THE DEADLINE TO SUBMIT THE BROOKLYN BOROUGH PRESIDENT’S ONLINE CAPITAL FUNDING APPLICATION IS 11:59 PM on Wednesday, February 13, 2019.

If you are applying for capital funding for a non-City project, you must ALSO complete the requisite Mayor's Office of Management and Budget (OMB) OR New York City Department of Cultural Affairs (DCLA) capital application. The deadline to submit these applications is 5:00 PM on Wednesday, February 20, 2019.

Generally, your project is considered a non-City project if you are a not-for-profit organization. If you have questions regarding your need to submit a non-City project application, please review the summary of the Guidelines for Capital Funding Requests by visiting: https://www1.nyc.gov/site/capitalgrants/guidelines/bulletpoints-to-guidelines.page

To access OMB's non-City Fiscal Year 2020 (FY20) capital funding application, visit: https://www1.nyc.gov/site/capitalgrants/index.page

To access DCLA's FY20 capital funding application, visit: https://www1.nyc.gov/site/dcla/cultural-funding/capital-funding.page

Section I: Organization Contact Information
NOTE: You will *NOT* be able to save and return to your questionnaire. Please complete this application in its entirety.
Organization Name: *
If you're a submitting an application for a school project, please write-in "N/A" directly below, and choose from the drop-down list in the following question.
Your answer
School Name: *
If you're submitting an application as a non-City project, please select "N/A" directly below, and see the following question.
Street Address: *
Your answer
City: *
Your answer
State: *
Please write out. Example: 'New York' instead of 'NY'
Your answer
ZIP Code: *
Your answer
Executive Director/Principal's Name: *
Your answer
Executive Director/Principal's Official Title: *
Example: President, Principal, CEO, Executive Director, et al....
Your answer
Executive Director/Principal's Office Phone: *
Your answer
Executive Director/Principal's Cell Phone: *
Your answer
Executive Director/Principal's Email Address: *
Your answer
If the contact for this application is different from the Executive Director/Principal, please complete the following:
The Capital Request Contact is the person who the Brooklyn borough president's staff should reach out to should they have any questions regarding your application and/or project.
Capital Request Contact's Name:
Your answer
Capital Request Contact's Official Title:
Your answer
Capital Request Contact's Office Phone:
Format: (XXX) XXX-XXXX
Your answer
Capital Request Contact's Cell Phone:
Format: (XXX) XXX-XXXX
Your answer
Capital Request Contact's Email Address:
Your answer
Section II: Organizational Funding History
NOTE: You will *NOT* be able to save and return to your questionnaire. Please complete this application in its entirety.
Has your organization received CAPITAL FUNDING from the Brooklyn borough president in past fiscal years? *
FY14 - Present
If your organization has previously received capital funding from the Office of the Brooklyn borough president, please describe how much funding was allocated, in what fiscal years, and what the funding was for. Please include ALL capital funding allocated since FY14. *
e.g. - "We received $100,000 for technology upgrades in FY14." If no previous funding was allocated, please enter "N/A."
Your answer
Has your organization applied for funding from the Office of the Brooklyn borough president in the past? *
If your organization has previously applied for capital funding from the Office of the Brooklyn borough president and did not receive it, please indicate how much funding was requested, what year(s) the funding was requested, and what the requested funding was for. Please include all unfunded funding requests since FY14. *
e.g. - "We requested $200,000 for office renovations in FY 2014." If you have never requested funding, OR if all of your funding requests have been fulfilled, please enter "N/A."
Your answer
Has your organization received an operating contract with the City of New York? *
Please select the most accurate description of your organization's operating contracts with the City of New York for each fiscal year listed. *
Operating contracts include monies paid to the organization from mayoral agencies, as well as City Council expense funding. If you are a public school, please select "None."
None
Less than $25,000
Between $25,000 and $50,000
More than $50,000
FY19
FY18
FY17
FY16
FY15
Section III: FY20 Project Information
NOTE: You will *NOT* be able to save and return to your questionnaire. Please complete this application in its entirety.
Name of Project (nonprofits): *
Example: 'Hospital - Mammography Center' (If you're submitting a school application, please enter "N/A")
Your answer
Name of Project (schools): *
Please select from the list below, if you're submitting a nonprofit application, please select "N/A."
Street Address of Project Site: *
Where will the project be located?
Your answer
City of Project Site: *
In what city will the project be located?
Your answer
State of Project Site: *
In what state will the project be located?
Your answer
ZIP Code of Project Site: *
In what ZIP code will the project be located?
Your answer
Community Board of Project Site: *
In what community board will the project be located? To look up your community board, please visit: gis.nyc.gov/doitt/nycitymap/
Council District of Project Site: *
Assembly District of Project Site: *
To look up, please visit: assembly.state.ny.us/mem/search/
State Senate District of Project Site: *
To look up, please visit: nysenate.gov/find-my-senator
Congressional District of Project Site: *
To look up, please visit: house.gov/representatives/find/
Please provide a brief description of the project and how the Brooklyn borough president's funding will be used. *
Example: The mammography center will screen patients for breast cancer. The Brooklyn borough president's dollars will be used to purchase a mammography scanning unit for the center.
Your answer
Please estimate how many construction jobs and permanent jobs this project is expected to create. Please also describe how these numbers were formulated. If the number of jobs to be created is unknown, please enter "Unknown." *
Example: The mammography center will create five construction jobs and three permanent jobs.
Your answer
Section III continued: Project Type
Directions:

a) Read both definitions of the two project types.
b) Determine whether your organization's project falls under Project TYPE 1 or Project TYPE 2


PROJECT TYPE 1: "City-Owned"

Definition: Projects, whether construction or equipment, that occur on City-owned property such as schools, streets, parks, and other.

Examples: Parks, public plazas, schools, etc...

-----------------------------------------------------------------------------------------------------------------------

PROJECT TYPE 2: "Non-City-Owned"

Definition: Projects, whether construction or equipment, that occur on non-City-owned property or when City property is leased by a non-City entity.

Examples: Affordable housing developments, charter schools, performance spaces, private ambulance services, etc...

Select a Project Type: *
Is your project a Type 1 project or a Type 2 project?
Section III continued: Project Type 1: City-Owned Projects
If your project is a "City-Owned" project, please answer the following. If your project is a "Non-City-Owned" project, please select "My project is a non-City-owned project."
Select a Project Category *
Section III continued: Project Type 1: City-Owned School Projects
If your project is a "City-Owned" school project, please answer the following. If your project is a "Non-City-Owned" or another "City-Owned" project, please select "N/A."
What is your Community Education Council (CEC) District? *
Does your school designate a coordinator/committee to engage parents, students, and faculty in a healthy food program or healthy initiatives? *
Does your school provide an alternative food and/or vegetarian menu, e.g. Meatless Mondays? *
Below, please note if your school has received accolades or acknowledgements for any healthy initiatives; or please note any internal progress your school has made with adapting a healthier initiative program. *
Your answer
Does your school have a STEM/STEAM curriculum? *
Does your school have an interest in pursuing digital alternatives to traditional textbooks? *
Section III continued: Project Type 2: Non-City-Owned Projects
If your project is a "Non-City-Owned" project, please answer the following. If your project is a "City-Owned" project, please select "My project is a City-Owned project."

NOTE: If your project is a non-City project, you are required to submit an additional application through the City's "CAPGRANTS" system. PLEASE VISIT nyc.gov/html/capgrants/capgrants.html FOR MORE INFORMATION.

Select a project category that best describes what you are seeking funding for. *
Is your project an affordable housing development? *
If your project is an affordable housing development, do you currently exercise site control over the project site? *
If your project is an affordable housing development, are you currently enrolled in a New York City Department of Housing Preservation and Development (HPD) loan program? *
Section IV: Funding Requested for FY20
NOTE: You will *NOT* be able to save and return to your questionnaire. Please complete this application in its entirety.

Please enter in the amount of funding you are requesting from each source for this project in the FY20 cycle. If you are not requesting funding from a given source, enter "0."

A) Brooklyn borough president: *
Format $XXX,XXX - example $240,000
Your answer
B) Mayor or Mayoral Agency: *
Format $XXX,XXX - example $240,000
Your answer
C) City Council: *
Format $XXX,XXX - example $240,000
Your answer
D) State of New York: *
Format $XXX,XXX - example $240,000
Your answer
E) Federal Government: *
Format $XXX,XXX - example $240,000
Your answer
F) Non-Governmental/Private Funding Sources: *
Format $XXX,XXX - example $240,000
Your answer
Section IV continued: Funding Previously Allocated
NOTE: You will *NOT* be able to save and return to your questionnaire. Please complete this application in its entirety.

Please enter in the amount of funding that has been PREVIOUSLY ALLOCATED from each source for this project. If no funding has been allocated to this project from a given source, enter "0".

G) Brooklyn borough president: *
Format $XXX,XXX - example $240,000
Your answer
H) Mayor or Mayoral Agency: *
Format $XXX,XXX - example $240,000
Your answer
I) City Council: *
Format $XXX,XXX - example $240,000
Your answer
J) State of New York: *
Format $XXX,XXX - example $240,000
Your answer
K) Federal Government: *
Format $XXX,XXX - example $240,000
Your answer
L) Non-Governmental/Private Funding Sources: *
Format $XXX,XXX - example $240,000
Your answer
Section IV continued: Total Cost
Total cost of your project: *
The sum of lines A through L must equal the total cost of your project. Format $XXX,XXX - example $240,000
Your answer
Certification
*
Required
Electronic Signature of Executive Director/Principal *
Please type out your name.
Your answer
WAIT! Please review ALL of the information you have entered above and ensure that ALL questions have been answered completely and correctly. Print this application for your records, and then click "SUBMIT"
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service