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									                              214 West 15th Street; Cheyenne, Wyoming 82002
                                  TEL: 307-777-2811 FAX: 307-777-2838
                                        www.wyomingbusiness.org


                              JOB TRAINING GRANT APPLICATION

     APPLICATION FOR A BUSINESS ECONOMIC DEVELOPMENT JOB TRAINING GRANT
           UNDER THE COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM


Amount of CDBG funds requested:______________________________________________________

Applicant:__________________________________________________________________________
                                               City, Town or County

Mailing Address:____________________________________________________________________

_________________________________________________________________ _______________

Responsible Elected Official:__________________________________________________________

Contact Person:_____________________________________________________________________

Phone:______________________________________E-Mail:________________________________

Name of Business Requesting Job Training Grant:

__________________________________________________________________________________

Address:         ______________________________________________________________________

__________________________________________________________________ _______________

Phone:______________________________________E-Mail:________________________________

Is this application for an existing business or for a new business start-up?
__________________________________________________________________________________

The WBC Regional Director certifies that he/she was consulted during the application preparation:


_____________________________________________________________________________________
WBC Regional Director’s Signature                                Date

Revised January 2006
                       APPLICATION CHECKLIST AND TIMELINE


Pre-Application Procedures:        (14 to 60 days depending on complexity and type of
                                   application and local public hearing procedures)

             Prepare application in consultation with the WBC Regional Director

             Notice of public hearing to consider grant application
             (Notice Published at Least 7 Days Before Public Hearing)

             Public hearing conducted by governing body of local government

             Resolution of application endorsement passed by governing body of local government

             Submit two (2) applications to the Wyoming Business Council staff in Cheyenne

_________    Submit one (1) application to the WBC Regional Director

Application Submittal Information:

             Application cover sheet

             Information to be provided in the application
             (Items 1 thru 7 in application form)

             Signed “Local Government Citizen Participation Plan”
                    Notices of public hearing
                    Minutes of public hearing
                    Resolution supporting submittal of application

             Signed “Certification of Applicant”

Application Approval Procedure: (60 days to 90 days depending on type of
                                application)

             Application reviewed by Wyoming Business Council staff

             Application reviewed by Wyoming Business Council Board of Directors

             Wyoming Business Council Board of Directors approves or denies grant application

             Local government notified in writing of a grant award
Post-Grant Award Procedure:

CDBG funds may not be committed or expended until the environmental review is completed and a
grant agreement is signed by all parties. The timeline for completion of these tasks is as follows:

              Environmental review            (7 to 90 days depending on level and complexity of
                                              review)

              Grant agreement                 (14 to 45 days depending on required local
                                              procedures for review of legal documents)

Therefore, it may take between 21 and 135 days after the Wyoming Business Council approves a
project before CDBG funds may be committed and expended by the grantee. Grantees should plan
accordingly. Detailed written instructions for conducting the environmental review may be obtained
from the Wyoming Business Council.

Summary of Timeline:

Pre-Application              14 to 60 days
Application Approval         60 to 90 days
Post-Grant Award             21 to 135 days
       TOTAL                 95 to 285 days

It may take between 95 and 285 days from the time an application is prepared to the time that funds
may be committed, local governments should plan accordingly.
                        GENERAL INFORMATION AND SUMMARY OF
                             GRANTEE RESPONSIBILITIES

Responsibility for Grant Administration:
The local government is responsible for the proper use and administration of the CDBG funds
regardless who ultimately benefits from the use of the CDBG funds. Grant agreements are between the
state and the local government, and therefore, the local government is the grantee.

Release of Funds:
Until the required environmental review is completed and approved by the Wyoming Business
Council, and a formal grant agreement is completed, signed and returned to the state by the grantee,
funds for the project cannot be committed or expended. Funds committed or expended before the
signing of a grant agreement will be determined to be ineligible for reimbursement. Signing of a
contract with a consultant or a construction contractor is considered a commitment of funds.

Federal Requirements:
If selected for funding, a grantee must agree to comply with all applicable federal laws and regulations.
The following is a list of the major requirements that apply to projects using CDBG funds. They cover
a wide range of issues including environmental impacts, labor standards, financial procedures, and civil
rights. Many requirements may affect the cost and complexity of project administration, therefore, all
applicants are advised to understand the responsibility of receiving a CDBG grant. Detailed written
information concerning these requirements may be obtained from the Wyoming Business Council.

The chief executive officer of the grantee or other officer approved by the state consents to or will
comply with the following:

(i)     He/she is authorized and consents on behalf of the applicants and himself to accept the
        jurisdiction of the federal courts for enforcement of his responsibilities as such an official.

(ii)    The community development program has been developed to give maximum feasible priority to
        activities which will benefit low and moderate income families, or aid in the prevention or
        elimination of slums or blight.

        (A)    The requirement for this certification will not preclude the state from approving a
               pre-application where the applicant certifies, and the state determines, that all or part of
               the community development program activities are designed to meet other community
               development needs having a particular urgency as specifically explained in the
               pre-application.

(iii)   It will consent to prepare an environmental assessment and assume the status of a responsible
        Federal Official under the National Environmental Policy Act of 1969, insofar as the provisions
        of such Act apply to the Wyoming Small Communities Block Grant Program; and

(iv)    It will, in connection with its performance of environmental assessments under the National
        Environmental Policy Act of 1969, comply with Section 106 of the National Historic
        Preservation Act of 1966 (16 U.S.C.470), Executive Order 11593, and the Preservation of
        Archaeological and Historical Data Act of 1974 by: (16 U.S.C.469(a)-1, et.seq.) by:

        (A)    Consulting with the State Historic Preservation Officer to identify properties listed in or
                eligible for inclusion in the National Register of Historic Places that are subject to
                adverse effects (See 36 CFR Part 800.8) by the proposed activity.

(v)      It will comply with the regulations, policies, guidelines and requirements of the OMB Circular
         Numbers A-87 and the "Uniform Administrative Requirements for Grants and Cooperative
         Agreements to State, Local and Federally Recognized Indian Tribal Governments," 24 CFR
         Part 85, as they relate to the acceptance and use of Federal funds and will comply with all
         requirements imposed by the state concerning special requirements of law, program
         requirements, and other administrative requirements.

(vi)     It will administer and enforce the labor standards requirements set forth in the Davis-Bacon
         Act, Contract Work Hours and Safety Standards Act, Copeland Anti-kickback Act and
         regulations issued to implement such requirements.

(vii)    It will comply with the provisions of Executive Order 11988 relating to evaluation of flood
         hazards and floodplain management; and Executive Order 11990 relating to wetlands
         protection.

(viii)   It will comply with the flood insurance purchase requirement of Section 102(a) of the Flood
         Disaster Protection Act of 1973, Pub. L.93-234, after March 2, 1974, the purchase of flood
         insurance in communities where such insurance is available as a condition for the receipt of any
         federal financial assistance for construction or acquisition purposes for use in any area, that has
         been identified by the secretary of the Department of Housing and Urban Development as an
         area having special flood hazards. The phrase "federal financial assistance" includes any form
         of loan, grant, guaranty, insurance payment, rebate, subsidy, disaster assistance loan or grant, or
         any other form of direct or indirect federal assistance.

(ix)     It will pursuant to Public Law 90-480 require every building or facility (other than a privately
         owned residential structure) designed, constructed or altered with funds provided under this
         Part to comply with the "American Standard Specifications for Making Buildings and Facilities
         Accessible to and Useable by the Physically Handicapped", Number A-117.1-R 1971, subject to
         the exceptions contained in CFR 101-19.604. Reference should also be made to accessibility
         regulations promulgated under the authority of the Americans with Disabilities Act. The
         applicants will be responsible for conducting inspections to insure compliance with these
         specifications by the contractor.

(x)      It will comply with:

         (A)    Title VI of the Civil Rights Act of 1964, (Pub.L. 88-352, and the regulations issued
                pursuant thereto (24 CFR Part 1), which provides that no person in the United States
                shall, on the grounds of race, color or national origin, be excluded from participation in,
                be denied the benefits of, or be otherwise subjected to any discrimination under any
                program or activity for which the applicant receives federal financial assistance and will
                immediately take any measures necessary to effectuate this assurance.

         (B)    Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794) and the
                regulations issued pursuant thereto (24 CFR Part 8), which provides that "No otherwise
                qualified individual with disabilities in the United States shall solely by reason of his
                handicap, be excluded from the participation in, be denied the benefits of, or be
                subjected to discrimination under any program or activity receiving federal financial
                   assistance..."

        (C)        If any real property or structure thereon is provided or improved with the aid of federal
                   financial assistance extended to the applicant, this assurance shall obligate the applicant,
                   or in the case of any transfer of such property, any transferee, for the period during
                   which the property or structure is used for a purpose for which the federal financial
                   assistance is extended, or for other purposes involving the provision of similar services
                   or benefits.

        D)         Title VIII of the Civil Rights Act of 1968 (Pub. L. 90-184), as amended, administering
                   all programs and activities relating to housing and community development is a manner
                   to affirmatively further fair housing in the sale or rental of housing, the financing of
                   housing, and the provision of brokerage services.

(xi)    It will:

        (A)        Comply with Title II (Uniform Relocation Assistance) of the Uniform Relocation
                   Assistance and Real Property Acquisition Policies Act of 1970 and HUD implementing
                   regulations at 24 CFR Part 42 and 24 CFR 570.602(a);

        (B)        Provide relocation payments and offer relocation assistance as described in Section 205
                   of the Uniform Relocation Assistance Act to all persons displaced a result of acquisition
                   of real property for an activity assisted under the Wyoming CDBG Program. Such
                   payments and assistance shall be provided in a fair and consistent and equitable manner
                   that insures that the relocation process does not result in different or separate treatment
                   of such persons on account of race, color, religion, national origin, sex, or source of
                   income;

        (C)        Assure that, within a reasonable period of time prior to displacement, comparable
                   decent, safe and sanitary replacement dwellings will be available to all displaced
                   families and individuals and that the range of choices available to such persons will not
                   vary on account of their race, color, religion, national origin, sex or source of income.

(xii)   It will comply with the provision of the Hatch Act which limits the political activity of
        employees.
Consultation with your WBC Regional Director is required during the application preparation. As
well, one copy of the completed application must be provided to your WBC Regional Director.


                                   WBC REGIONAL DIRECTORS
                            Natrona, Converse, Platte, Niobrara Counties

  Steve Elledge                                               Tel: 307.577.6012,
  East Central Regional Director                              Fax: 307.577.6032,
  300 South Wolcott, St 300                                   Cell: 307-262-6346
  Casper, WY 82601                                            Email: steve.elledge@wybusiness.org
                         Campbell, Sheridan, Johnson, Crook, Weston Counties

  Dave Spencer                                                Tel: 307.685.0283
  Northeast Regional Director                                 Fax: 307.686.7268
  PO Box 962                                                  Cell: 307-689-1320
  Gillette, WY 82716                                          Email: dave.spencer@wybusiness.org
                            Park, Big Horn, Hot Springs, Washakie Counties

  Leah Bruscino                                                Tel: 307.754.5785
  Northwest Regional Director                                  Fax: 307.754.0368
  143 South Bent, Ste B                                        Cell: 307-421-0140
  Powell, WY 82435                                             Email: leah.bruscino@wybusiness.org
                                Laramie, Carbon, Albany, Goshen Counties

  Tom Johnson                                                    Tel: 307.635.7735
  Southeast Regional Director                                     Fax: 307.635.7742
  LCCC 1400 E. College Dr., Ste 203                              Cell: 307-631-9275
  Cheyenne, WY 82007                                             Email: tom.johnson@wybusiness.org
                              Sweetwater, Lincoln, Uinta, Sublette Counties

  Ray Sarcletti                                              Tel: 307.382.3163
  Southwest Regional Director                                Fax: 307.382.3217
  1400 Dewar Drive, Ste 208A                                 Cell: 307-389-0867
  Rock Springs, WY 82901                                     Email:
                                                             ray.sarcletti@wybusiness.org
                                       Fremont, Teton Counties

  Roger Bower                                                   Tel: 307.857.1155
  West Central Regional Director                                Fax: 307.857.0873
  213 West Main Street, Ste B                                   Cell: 307-851-0908
  Riverton, WY 82501                                            Email: roger.bower@wybusiness.org
                  LOCAL GOVERNMENT CITIZEN PARTICIPATION PLAN

                         (Must Be Completed and Endorsed by the Applicant)


1.     Date of Notice advertising Public Hearing:___________________
       (Please attach a copy of the notice)

2.     Date of Public Hearing:_____________________________________

3.     Please summarize public comment received at the hearing:




4.     Please attach a copy of the council or commissioners resolution supporting submittal of the
       application and minutes of public hearing.



As the Chief Elected Official of____________________________________________________
                                                 Name of County/Town/City

I hereby certify that we have satisfied the citizen participation requirements listed in the Final Rules
and Regulations.




_______________________________________________                    ____________________
 Name/Title                                                              Date
                INFORMATION TO BE PROVIDED IN THE APPLICATION

1.    Provide a detailed budget showing all sources and uses of funding.




2.    Explain why specialized training of employees is required.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

3.    Provide documentation that qualified workers do not exist in the community.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

4.    Explain why CDBG grant funds are necessary.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

5.    Furnish a complete description of the proposed training curriculum with the name(s) of the
      individuals that will conduct the training including resumes or qualification statements.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
6.      Please provide the following information concerning the jobs individuals will be trained for.

        Total Number of Jobs:___________________________________
        Number of Jobs Available to Low & Moderate Income Individuals: ____________________
        (See "Appendix A” of final Rules)

        List below the job title for each position and provide appropriate information for each job
        classification.

         EDUCATIONAL REQUIREMENTS                                       SALARY REQUIREMENTS (PER YEAR)
Job        # To Be    High     College   Advanced   Special      Less than   $10,001-   $12,001-   $15,001-   $20,001-   Over
Title      Created/   School   Degree    Degree     Training *   $10,000     $12,000    $15,000    $20,000    $25,000    $25,000
           Retained




*Briefly describe the required specialized training below.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
7.    Provide a plan of action by the business for solicitation and validation of low to moderate
      income workers.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

8.    A narrative explanation of how the project will either directly or indirectly provide for the
      creation or retention of permanent primary jobs which are above the current average wage, and
      aid in the diversification of the Wyoming economy.___________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
                              CERTIFICATION OF APPLICANT

I,_____________________________________, certify the___________________________________
       (Mayor/County Commissioner)                         (City/Town/County)

will comply with all provisions of Title I of the Housing and Community Development Act of 1974, as
amended, and with all other applicable laws pertaining to distribution of Title I funds including
identifying community development and housing needs, the needs of low to moderate income persons
and the activities to be undertaken to meet such needs.                       I certify that the
_____________________________________ has read the Final Rules and Regulations as adopted for
        (City/Town/County)
the CDBG Program and will comply with all applicable rules and regulations which are considered a
part of this application.



______________________                     _________________________________________
(Date)                                            Mayor/County Commissioner


                                           _________________________________________
                                                 County/Municipality

								
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