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Attachment G Abstract Suggested Template

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1 Only one grant number for a completed grant that aligns with the category type and proposed service delivery area (as geographically close as possible).

ATTACHMENT G: ABSTRACT SUGGESTED TEMPLATE

Applicant may tailor this template as needed.

Applicant Name:

Project Category:

HVRP __________ HFVVWF __________ IVTP __________

Service Delivery Area(s):

New or Previous HVRP Grantee (check the option that applies):

New __________ Previous __________

*For previously funded applicants only - one grant number for a completed HVRP, HFVVWF, or IVTP grant operated in the last three program years (July 1, 2017 – June 30, 2020)1:

Grant Number: _____________________________________________________________________

HUD Continuum of Care (CoC) Name, if applicable:

HUD Continuum of Care (CoC) Associated Number, if applicable:

Name of State Workforce Agency (SWA) or local American Job Center (AJC):

SWA:

AJC:

Qualified Opportunity Zone Identification, if applicable:

Funding Request for Each Individual Year of the Grant (up to $500,000 each year):

Year 1 Total: ______________________________________

Year 2 Total: ______________________________________

Year 3 Total: ______________________________________

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