1

Association governed by formal bylaws

 *

Association governed by formal bylaws

Yes

No

2

Association has elected officers

 *

Association has elected officers

Yes

No

3

Association has scheduled meetings

 *

Association has scheduled meetings

Yes

No

4

All residents have the ability to become members and hold office

 *

All residents have the ability to become members and hold office

Yes

No

5

Neighborhood has private streets

 *

Neighborhood has private streets

Yes

No

6

Number of detached dwellings in the neighborhood

 *

Number of detached dwellings in the neighborhood

< 10

10 - 100

100 - 200

> 200

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7

Neighborhood/Organization

 *

Neighborhood/Organization

8

Contact Person

 *

Contact Person

9

Mailing Address

 *

Mailing Address

10

Email

 *

Email

- Alternate -

11

Contact Person

 *

Contact Person

12

Mailing Address

 *

Mailing Address

13

Neighborhood Association Endorsement

 *

Neighborhood Association Endorsement

14

Position

 *

Position(Select an Answer) President Vice President Treasurer Secretary Committee Chair

15

Amount Requested

 *

Amount Requested

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Please answer the following questions. Decisions will be based on the information provided on this application. Incomplete applications will not be considered, so be sure to answer every question thoroughly before submitting the application.

16

What issues will the project address? Check ONE category the most describes the issue your project will address.

 *

What issues will the project address? Check ONE category the most describes the issue your project will address.

Block/Neighborhood Lasting Enhancement Project

Blight Removal/Reduction Project

What issues will the project address? Check ONE category the most describes the issue your project will address.

17

Describe how residents will be involved in carrying out the project

 *

Describe how residents will be involved in carrying out the project

18

Describe the project you are proposing in detail

 *

Describe the project you are proposing in detail

19

List below the basic steps you will undertake to do this project.

 *

List below the basic steps you will undertake to do this project.

20

How will the neighborhood/residents benefit from the project?

 *

How will the neighborhood/residents benefit from the project?

21

I, ______________________, certify that the information above is accurate

 *

I, ______________________, certify that the information above is accurate

Attach invoices, photos, drawings and / or estimates to verify purchases needed to complete project, and a copy of current your Neighborhood Association bylaws.

Neighborhood Liaison / Community Ombudsman Community Development Department P.O. Box 7202 Greenville, NC 27835

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2. Email Address

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