Detailed Eligibility

Applicant Information

Full name(s) of business owner(s) *

This is a required question.

Full name of applicant contact *

Title of applicant contact *

Email address of applicant contact *

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Primary phone number of applicant contact *

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Brief summary of the business * (1000 character max)

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Grant Project Information

Please select your Project Type *

Workforce development project
Capital project

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Project Category * (please select all that apply)

Multi-site Development Assistance: Your business does not have a location in Clackamas County and seeks to establish a new location in Clackamas County
Relocation: You seek to relocate your existing business into Clackamas County
Physical Expansion: Your business is currently located in Clackamas County and seeks to relocate to a larger facility within the county or expand your existing facilities in the county
Production Expansion: Your business seeks to expand production capacity through purchasing new equipment, hiring additional employees, providing employee technical training, and/or other capital investment(s)
County Business Retention: Your business is currently located in Clackamas County and seeks funds to assist with a project intended to retain operations in the county

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Please provide a narrative summary of your project * (2000 character max)

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Please describe the business need for grant funding to assist your project * (2000 character max)

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What outcomes do you expect to achieve as a result of this project? Expected outcomes will be included in grantee funding agreements and tracked throughout grant projects. * (please select all that apply)

Hire new employees
Increase production
Increase production efficiency
Decrease production waste
Improve environmental efficiency of production (e.g. decrease water usage, lower carbon footprint, etc.)
Increase your business' spending on local inputs
Expand product line / offer additional products
Increase revenue

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Elaborating on your selected outcomes, please describe in more detail the expected local economic impacts of your project * (2000 character max)

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How many months do you expect it will take to fully implement your project? *

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Please describe your project timeline in more detail * (1000 character max)

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If your project is awarded partial funding, what project activities and costs would you prioritize to achieve your desired outcomes? * (1000 character max)

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Upload Attachments

Using the required template, please attach your project budget below . You may find the required budget template HERE. *

This is a required question. Upload 1 supported file: XLSX. Max 10 MB.

Please attach your proof of matching funds below (PDF format only ). Please exclude any private information that is not necessary for assessing your match (e.g. full bank account numbers, full routing numbers, check numbers, social security numbers, etc.) You may upload multiple PDFs, but please limit your submission(s) to 5 pages TOTAL across all uploads. *

This is a required question. Upload 1 supported file: PDF. Max 10 MB.

Additional File

This is a required question. Upload 1 supported file: PDF. Max 10 MB.

Additional File

This is a required question. Upload 1 supported file: PDF. Max 10 MB.

Additional File

This is a required question. Upload 1 supported file: PDF. Max 10 MB.

Attestation

By signing this application, I affirm:

I am legally authorized to bind the applicant business; and

The information provided in this application, and any supporting documents provided (if applicable), are true and complete to the best of my knowledge; and

I understand I may be contacted by CCOED staff to provide additional information or documentation which CCOED, in its sole discretion, may require to complete my application and/or establish my eligibility; and

I do not owe back taxes to any governmental agency or, if back taxes are owed, a written agency payment plan is in place; and

I understand any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to law enforcement referral for further investigation or result in the disqualification of my application as unresponsive.

I understand my application may be denied if it’s determined that there are current code violations, or that I have received warnings to rectify code violations that are deemed hazardous or unsafe to my business, its employees or the community.

I understand I may be required to refund or reimburse all or part of the grant proceeds not used for their intended purposes, as stated in the Application, Scope of Work and/or Funding Agreement.

Choose Yes No

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Name of Attesting Corporate Officer *

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