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Technical Assistance for MPOs
Performance Measures Technical Assistance for MPOs
Step 1 of 4
25%
Use the application form below to apply for the technical assistance. We recommend having your information fully prepared before you begin as the form must be completely filled out at once. There is no way to save your application and come back later. At any time, you can find the full application information on this page, or via
the full application information form
(pdf).
Name of applicant agency
*
Region represented
*
Agency CEO or other individual authorized to enter into agreements
*
Contact Person Name
*
First
Last
Contact Email
*
Contact Phone Number
*
Please list any other partner organizations participating in the technical assistance
*
Level of assistance required
*
101
201
301
(choose one)
1) Prior or current work: Please list all prior work on performance measures that has been completed for your region. Please include any performance measures that are included in a policy statement in your region’s current LRTP.
*
2) Rank interest in the following topics (on a scale of 1 to 7 from most interested to least interested):
a) Access to opportunity
*
Please enter a number from
1
to
7
.
b) Economic development
*
Please enter a number from
1
to
7
.
c. Environmental sustainability
*
Please enter a number from
1
to
7
.
d) Equity
*
Please enter a number from
1
to
7
.
e) Resilience
*
Please enter a number from
1
to
7
.
f) Placemaking
*
Please enter a number from
1
to
7
.
g) Public Health
*
Please enter a number from
1
to
7
.
3) Lead organization’s definition of equity: As defined and used by the organization leading this application, what is equity? What specific, past actions by the lead applicant organization embody this definition?
*
4) Statement of need: In plain English terms that would be generally understood by the public, please describe the performance measures technical assistance that is needed in your region. Also, please describe the barriers or challenges that are currently facing your region’s adoption of performance measures and/or your region’s incorporation of performance measures into your TIP project selection process.
*
5) Requested focus of technical assistance: Describe the specific assistance that you would like T4America to provide (topic(s) of focus, desired participants, etc.) and how the assistance would address the need identified in the Statement of Need above?
*
6) Long-range planning process and timing of assistance: Please describe the timeline of your current long-range planning process and how this TA will fit in. Please also discuss any other internal processes or milestones and any external factors that should be considered in selecting the timing for this assistance to be as impactful as possible.
*
7) Partnership and engagement: Describe the staff commitment the applicant group will provide to reinforce and enhance the technical assistance.
*
8) Commitment to health and equity: Successful completion of this technical assistance will result in a commitment from the participating region to incorporate the learning concepts into their activities. What represents a commitment to you? What would incorporating a commitment into your TIP look like?
*
9) In kind contribution: Please check the boxes below if you are interested in discussing and being considered for an in-kind contribution to offset some of the cost of this assistance. Please indicate which kind(s) of in-kind contributions you could provide:
Workshops venue
Catering support
Printing materials
Other
Email
This field is for validation purposes and should be left unchanged.