2. 
   PLEASE NOTE: The Black Hawk County Supervisors are not currently accepting new applications. The application window is typically every April - May so please check back!

   
   The Black Hawk County Board of Supervisors has allocated funding for providing community services that advance the following public purposes:     

   •    Stable and secure housing
   •    Heating and utilities
   •    Nutrition and Hunger
   •    Health and mental health care 
   •    Shelter and heat when housing is unavailable
   •    Education
   •    Job training
   •    Basic skills training
   •    Special needs training and assistance
   •    Poverty and providing for basic necessities
   •    Financial management and debt relief
   •    Relief from domestic violence, domestic assault, and sexual abuse/assault
   •    Childcare
   •    Energy
   •    Conservation and preservation of natural resources
   •    Environmental protection
   •    Business climate
   •    Employment opportunities
   •    Economic vitality
   •    Crisis prevention and assistance
   •    Equal opportunity and combatting discrimination

4. Tentative Schedule FY23:

   Application Submission Deadline
   Application Review
   Presentations to the Board of Supervisors
   Award Notification

5. 
   May 31, 2022
   June 1 – June 13, 2022
   June 14th & 21st, 2022
   June 2022

7. Application Presentations:

   Applicant presentations will be scheduled at one or more upcoming meetings of the Black Hawk County Board of Supervisors. The presentation length will be approximately ten (10) minutes. The Board may allow for additional time for questions and answers.

9. Applicant Eligibility:

   Because community services are sought in order to serve residents of Black Hawk County, and because of the desire to encourage local providers of such services, preference will be given to organizations that are either solely located in, or have a branch office located in, Black Hawk County. 

11. Service Eligibility:

    Community services funds may be used only for services that advance once or more of the public purposes identified by the Black Hawk County Board of Supervisors and listed below, for the benefit of the residents of Black Hawk County.  Applicant should be able to identify services it performs that will advance one or more of the following public purposes identified by the Board of Supervisors.

13. Community Services Requirements:

    Community services funds must be used for those services for which the County ultimately contracts. Contracted services must be performed and invoiced in order for funds to be paid.

    At any time, the Board of Supervisors may request that an update on services being provided be presented to the board during public meetings.  The Board may request documentation concerning contracted services.

    Year-end reports and/or presentations may be required. Failure to submit required reports will be considered in determining eligibility for award of future community services contracts.  

15. Evaluation Criteria:

    Submitted applications will be evaluated by the following criteria in no particular order of importance:

    • Demonstrates economic impact and/or community development.
    • Has potential for long term impact
    • Serves a broad segment of the population
    • Cleary describes the project goals
    • Demonstrates plans for future funding for the project/program
17. Selection Process:

    Community services funds may not be able to fund every request submitted.  If an application is not awarded, the decision does not reflect on the value of the group or service. Funding decisions will be made in February. This is not an ongoing allocation; funding to agencies is contingent upon the amount of funds the Board of Supervisors have allocated.

19. To ensure fairness, applications that are incomplete, do not follow guidelines, or miss the deadline will not be eligible for funding.

23. Applicant Information:
25. Applicant Or Organization Name*
27. Contact Person's Name*
28. Email Address
30. Address*
32. City*
33. State*
34. Zip Code*
36. Phone Number*
38. Please include the Organizational Mission Statement and Services proved.*
40. Dollar amount of funding requested*
42. Project Name and Brief Summary of Project (2-4 sentences)*
44. Is the applicant organization less than one year old? If so, please submit a business plan as an attachment.
48. Project/Program Information:
50. Describe the project, its location and population served, as well as the need for the program.
52. Describe the goals and objectives of the project.
54. Describe the impact the proposed project will have in Black Hawk County,
56. What is the sustainability plan to provide ongoing program/project continuity?
60. Financial:
62. Provide a detailed budget as an attachment.
64. In the space below, provide a brief description of each budget item.
66. Does the funding request leverage other funding?
    -- Select One --YesNo
67. Is it a match for other funding?
    -- Select One --YesNo
69. If "yes" how will the project leverage the funding dollars awarded?
71. Funding decisions will be made in June.
Leave This Blank:


72. 1. Receive an email copy of this form.
73. Email address

    This field is not part of the form submission.

74. Submit

* indicates a required field