FY23 MA04 Community Project Funding Request Form
I am looking forward to serving my constituents across the Fourth District of Massachusetts and supporting Community Funding Project requests in the Fiscal Year 2023 Appropriations bill. In Fiscal Year 2022, your input helped my office identify ten Community Project Funding opportunities and secure $16.2 million in federal funds to support those projects. In order to ensure that I am hearing directly from my constituents, I have created this form to solicit Community Project Funding requests for Fiscal Year 2023. Please take the time to let me know about your Community Project Funding requests and how my office can help you.
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Email *
The deadline for all submissions is Monday, April 11 at 11:59pm.
Please limit your requests to one program per submission. Submissions that include requests for multiple programs will not be considered. You may submit more than one project, but you must complete the form again for each project.

For general inquiries about the submission process, please email Congressman Auchincloss' District Director, Dana Hanson, at dana.hanson@mail.house.gov.

Fields marked with an * are required.

Please note that if your community funding request is selected for further review, you will be required to submit additional information and documentation beyond the scope of this form. A representative from Congressman Auchincloss' office will reach out for this information the week of April 18.
Community Project Funding Title *
Project Description (limit 2000 characters). *
Why is this project a priority for Massachusetts’ 4th CD? *
Funding amount requested for FY23 *
Total Project Cost *
Can the project obligate all appropriated funds within 12 months after enactment? *
Estimated dates for project expenditure (mm/dd/yyyy – mm/dd/yyyy) *
Are you able to provide documentation demonstrating community support? This may include: letters of support from elected community leaders (e.g. mayors or other officials); press articles highlighting the need for the requested Community Project Funding; support from newspaper editorial boards; projects listed on State intended use plans, community development plans, or other publicly available planning documents; resolutions passed by city councils or boards. *
Is the funding recipient a non-profit organization as described under section 501(c)(3) of the Internal Revenue Code of 1986, the Commonwealth of Massachusetts, or a unit of local government? *
Recipient Legal Name (This cannot be a lobbyist; this must be an individual employed by the grantee who will serve as a point of contact for the funding agency) *
Recipient Phone Number *
Recipient Email Address *
Recipient Street Address, City, State, Zip Code *
Project Street Address, City, State, Zip Code (if different from recipient)
Request Explanation (Explanation of the request must include purpose and why it is a valuable use of taxpayer funds. We encourage you to describe how the project may support disadvantaged communities.) *
Has the project received federal funds previously? If so, please describe. *
Do you consent to publishing the name of the organization or individual requesting funding for this project if Congressman Auchincloss submits this request? *
A copy of your responses will be emailed to the address you provided.
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