Pt I: Project Review Form

Project Review Form: CEDA
PLEASE COMPLETE TO THE BEST OF YOUR CURRENT KNOWLEDGE:

Thank you for your interest in CEDA services! This form is intended to be helpful to you in identifying your project and/or program needs. It will also help to communicate your needs to CEDA.
Completed by: (Individual, Business, or Organization)
Name of Project
Organization Name
Contact Person
Mailing Address
Street Address
City
State
Zip
Phone
Email
example@example.com
Website
Are you a CEDA member?

Yes No
Are you working with a CEDA staff member already? If so, please list the staff person(s) below.
Estimated Date that CEDA Services will be needed

Month Day Year
Date
Estimated Date that CEDA Services will be completed

Month Day Year
Date
Project Description (Scope of Work)
Please explain why the project is needed, and who will benefit from this project:
Do you have a project champion?

Yes No
If so, who?
List the Key People involved in your project (ie: Stakeholders, contractors, consultants, economic development organizations)
What financial resources do you currently have? (please identify as pending or committed.)
CEDA Assistance Needed: Check All that Apply

Defining the Project Developing a Planning Team Identifying Potential Partners Identifying the Expertise Required for the Project Defining the Project Scope Developing a Project Budget Identifying In-Kind Develop a Tracking System for Donated Labor & Materials Identifying Funding Sources Participate on a Planning Team Developing a Request for Proposal Developing a Proposal Developing a Grant Application
If yes to "Developing a Grant Application" , please list grant title(s) and funder(s):
Grant Administration Project Management Grant Sponsorship/Fiscal Management Public Outreach/Education Strategic Planning Services Project Organization Services Other/I'm not sure
Please Explain Services Needed
Benefit and Need Assessment:
Population of area served (if applicable)
# of Clients/Customers served (if applicable)
# of households served (if applicable)
Other Considerations:
1. This project benefits

State of Idaho North Central Idaho Individual Counties Individual Communities Other
Name the Counties
Name the Communities
2. This project has the leadership required to be successful.

Yes No
Explain
3. The stakeholder(s) has the financial, organizational, and management capacity necessary to be successful.
Explain

Yes No
Explain
4. This project has the support of county and city leadership in the jurisdictions most impacted.
Explain

Yes No
Explain
5. Do you see this project being completed in phases?
Explain

Yes No
Explain
6. When completed or implemented, this project has the ability to be sustained or maintained over time.
Explain

Yes No
Explain
Thank you! CEDA staff will contact you to discuss your project further.
Should be Empty:

Project Review Form: CEDA

PLEASE COMPLETE TO THE BEST OF YOUR CURRENT KNOWLEDGE:

Benefit and Need Assessment:

Other Considerations: