Workforce Application

Notes for Applicants
  • Please answer all of the following questions.
  • Limit responses to each question to 850 characters or less.
  • CBOs that are not currently a registered company or non-profit may apply with a different, registered CBO as their fiscal sponsor.
  • Non-profit CBOs that are not registered with Medicaid for billing purposes, and would like to explore this option to provide services, may coordinate with us and UHA to determine how services may be designated within a billable category.
  • Projects that are funded will be required to report on the how the funds are expended. We will also request that the organization provide an estimate of the number of people expected to be served in the next year.
Contact Information
Application Questions
Upload Budget

Please upload a projected budget distribution including (at minimum) item, source, and amount.