Broadband Ready Community Designation Recertification

1

What community are you filling out this recertification for?

2

Single Point-of-Contact's Full Name* This field is required.

First Name

Last Name

3

Single Point-of-Contact's E-mail* This field is required.

4

Single Point of Contact's Phone Number* This field is required.

Area Code

Phone Number

5

Have there been any modifications, additions or omissions to the Broadband Element of your community's Comprehensive Plan since your community was last approved as Broadband Ready?* This field is required.

YESNO

6

Please upload supporting documentation for Comprehensive Plan compliance.

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Max. file size: 10.6MB

7

Have there been any modifications, additions or omissions to your community's local broadband ordinance since your community was last approved as Broadband Ready?* This field is required.

YESNO

8

Please upload supporting documentation for Local Ordinance compliance.

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Max. file size: 10.6MB

9

Please provide the website link to the single point-of-contact information for broadband projects on your community's website.* This field is required.As required by the adoption of the Broadband Ready ordinance, your community must publicly list a single point-of-contact for any questions related to broadband project's on your community's website. This contact information shall include the contact's title, full name, phone number and email address.

10

Applicant's SignatureI certify that all information provided in this application is true, complete and correct.