CCHA Community Incentive Program Application

Information requested from application:

Applications must include the following information submitted using the form below. If you have questions about the application, please contact

Proposal Summary

Provide a summary of the proposed project. Briefly describe why your organization is requesting funding, what results you hope to achieve, how you will spend the funds and how the project contributes to both your overall mission, as well as the mission of CCHA and the Regional PIAC.

Policies & Financial Information

The following information must be with the submission of this form.