ARPA Funding Proposal Request

Town of Henniker

AMERICAN RESCUE PLAN (ARPA) FUNDING PROPOSAL

This form is a tool to provide the Selectboard a quick easy to read analysis of department, board, or committee requests for use of Henniker American Rescue Plan funding (ARPA). Please complete this form to request funding for a project, purchase, or capital improvement.  Requests will be evaluated by the Selectboard.  Prioritization criteria may include need, urgency, public safety, greatest public interest, other available funding.  Please complete the attached form, include supporting documentation and return to the Town Administrator, Diane Kendall by email to diane.kendall(at)henniker.org or mail to 18 Depot Hill Rd Henniker NH 03242.  For questions call 603-428-3221.

  1. Department/Committee:  
  2. Person Requesting:
  3. Project or Item:  
  4. Is the Project already appropriated in operating budget or capital improvement plan?
  5. Funding Requested: (Identify funding amount, multiyear components and any annual carrying costs):  
  6. Description of Purchase or Project (Describe the project clearly & succinctly):  
  7. Benefits Related to COVID-19 Response, or Recovery:
  8. Implementation Details (Briefly describe how this project will be implemented, and if any potential barriers exist):
  9. Supplemental Information (Note if attached):