Application deadline is COB on Friday, March 17th, 2023
Submitting Organization * Organization Name: * Address Line 1 * City * State Alabama Alaska America Samoa Arizona Arkansas California Colorado Connecticut D.C. D.C. Delaware Federated States of Micronesia Florida Foreign Correspondence Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Trust Territory Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming * Zip * Organization's Tax ID Number * Under the Congressional Directed Spending reforms announced by the Senate Appropriations Committee, there is a ban on congressionally directed spending items to for-profit entities. Is this organization a for-profit entity? Yes No Head of Organization * First Name MI * Last Name * Title * Phone * Email Staff Contact at Organization * First Name MI * Last Name * Title * Phone * Email If you employ a lobbyist, please list their contact information. (A lobbyist is not required to apply for funding.)Name of Firm Contact Name & Title Phone Email Have you requested funding for this project with any other Members of Congress?If so, please list the Representative or Senator's name as well as the name and phone number for the lead staffer.Member's Name Staffer Name Staff Phone Staff Email * Name of Project Please use the same name of the project as submitted to other Members of Congress. * This request is our Organization's ____ priority.We strongly recommend you request NO MORE THAN six projects. Additionally, to avoid undue competition within your own priorities, we encourage you to diversify your requests so that no more than three projects would be considered in the same category (i.e. healthcare, education, transportation, etc.) 1st 2nd 3rd 4th 5th 6th * Purpose:Enter the purpose beginning with "for" or "to" (e.g. "for construction of low-income elderly housing" or "to purchase equipment for the oncology wing" or "for operating costs to start up a youth mentoring program"). This should be no more than one sentence. * Description:Please provide additional specific information (approximately 1 to 3 sentences) describing exactly how the funding would be used and how that applies to the goals of the project. For example "The funding will be used to purchase education supplies and pay salaries to provide an after-school program for disadvantaged youth in the neighborhood. This will help to educate more children, provide mentoring, and reduce the likelihood that the children will become involved in criminal activity." * Who will this project benefit? * How many people will it serve? * Will this create any new jobs? Yes No If yes, how many? * Justification:Why is this project a valuable use of taxpayer funds? Your answer should explain WHY Federal funds should be used for the project. For example "the new equipment will provide improved healthcare for XX of area residents" or "this program will educate and provide support for at-risk youth to help them connect with job opportunities." Your answer to this question MUST be different from your answer to the project purpose or description. Location of the project or activity if different from the address listed above: Funding Amount Requested* What is the amount of funding being requested for the year?Appropriations bills provide funding for ONE YEAR ONLY. Because funding is not guaranteed, you should not anticipate multiple year funding. How will the requested funding be used? List the amount and description for each applicable budget category.(construction, design/study, equipment, general operations, personnel/salaries, other)* Budget Category * Amount * Description * If the full requested amount cannot be provided what is the minimum amount needed to move the project forward? * What is the project's total cost? Please list ALL anticipated sources of funding from the following groups.* Local Government * State Government * Federal Government * Private Sources * Please list the amount raised to date: * Please list the work already completed: Please specify the applicable Appropriations bill you are seeking funding through.It is OK to leave this question blank if you do not know which bill to select. Senator Menendez's staff will select the most appropriate bill as necessary. Please keep in mind if your organization is making multiple requests we encourage you to limit your requests to no more than 3 projects within the same category (i.e. transportation, healthcare, justice/law enforcement, etc.) Appropriations Subcommittee Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Commerce, Justice, Science, and Related Agencies Defense Energy and Water Development Financial Services and General Government Homeland Security Interior, Environment, and Related Agencies Labor, Health and Human Services, Education, and Related Agencies Military Construction, Veterans Affairs, and Related Agencies State, Foreign Operations, and Related Programs Transportation, Housing and Urban Development, and Related Agencies Associated Sub-Account (if known) If this is a Defense request, please provide the PE or budget line number, agency account, and please upload background information/white paper in the abstract section of this form. Community Development Fund - Economic Development Initiative Projects The Transportation, Housing and Urban Development and Related Agencies Subcommittee requires that Community Development Fund - Economic Development Initiative projects serve low-to moderate-income persons. These projects would have to qualify under an area benefit, wherein 51% of the population is LMI.Does your project serve low-to-moderate income persons? Yes No Transportation - Highway/Road ProjectsIf this is a Transportation request, is the project part of a state transportation improvement plan? Yes No If this project is not part of the state transportation improvement plan, it might not meet eligibility requirements for funding.If you are applying for water and wastewater infrastructure funding under the EPA, State and Tribal Assistance Grant account, please note that there is a minimum 20% cost share requirement for any state or local water infrastructure grant funded through congressionally directed spending.What is the total cost of the project? Please note that there is a minimum 20% cost share requirement for any state or local water infrastructure grant funded through congressionally directed spending. If you are requesting 80% of the total cost, the applicant must have a plan on how to secure the 20% local cost share. Is the 20% local cost share requirement available for this project? Yes No Please explain how the project will impact water quality in the affected area. If this is a Military Construction request, please upload DoD Form 1391 in the abstract section of this form.Project Website (if applicable) Funding HistoryIf this specific project has received Federal funding in the form of an appropriation request in prior appropriations bills, list the amount of money the project received and the fiscal year it was funded.Fiscal Year Amount Appropriation Bill Program Title/Account Did your organization received funding for a CDS Project in Fiscal Year 2022 or Fiscal Year 2023? Yes No Fiscal Year Amount Appropriation Bill, Program Title/Account Project Name List any competitively awarded grant funding this project received from a Federal agency within the last three years.Amount Agency Program Abstract* Please include an abstract of your project to describe your proposed activity and why the Federal government should support this project. Include a description on the project's importance to New Jersey. Be succinct and specific in defining what the project is or will do and its exact objectives. Please keep in mind that any acronyms used should be defined at least once within in the abstract. Upload supporting documentation and/or whitepapers here. Upload FileNo file chosen * I understand the Office of Senator Menendez may need to reach out to obtain additional information about my request. Acknowledged
If you employ a lobbyist, please list their contact information. (A lobbyist is not required to apply for funding.)
Have you requested funding for this project with any other Members of Congress?
If so, please list the Representative or Senator's name as well as the name and phone number for the lead staffer.
Funding Amount Requested
How will the requested funding be used? List the amount and description for each applicable budget category.(construction, design/study, equipment, general operations, personnel/salaries, other)
Please list ALL anticipated sources of funding from the following groups.
Community Development Fund - Economic Development Initiative Projects
The Transportation, Housing and Urban Development and Related Agencies Subcommittee requires that Community Development Fund - Economic Development Initiative projects serve low-to moderate-income persons. These projects would have to qualify under an area benefit, wherein 51% of the population is LMI.
If this project is not part of the state transportation improvement plan, it might not meet eligibility requirements for funding.
Please note that there is a minimum 20% cost share requirement for any state or local water infrastructure grant funded through congressionally directed spending. If you are requesting 80% of the total cost, the applicant must have a plan on how to secure the 20% local cost share.
If this is a Military Construction request, please upload DoD Form 1391 in the abstract section of this form.
Funding History
If this specific project has received Federal funding in the form of an appropriation request in prior appropriations bills, list the amount of money the project received and the fiscal year it was funded.
List any competitively awarded grant funding this project received from a Federal agency within the last three years.
Abstract
Upload supporting documentation and/or whitepapers here.
Affirmations and Acknowledgements