INTAKE FORM
PROJECT TEAM PROFILE
This section collects information about the project team.
1. Lead applicant (“you” or “your”) general contact information: (write in) Organization Name: City of Fontana
Authorized Officer Name: Robert Torres
Lead Contact Name and Title:
Robert Torres, Public Affairs Manager
California-Based Affiliate Contact (if different
from the Lead Contact Name): Same
Person with Contract Signing Authority (if different from above):
Fontana City Council
Street Address: 8353 Sierra Ave
City: Fontana Zip Code: 92335
Phone: 909-538-0517 Email Address: [email protected]
Mailing Address (If different):
2. Please select your organization’s type:
(select one)
Public agency. The City of Fontana is a public agency.
EVGIDE INTAKE FORM
2 3. Do all partners included on your application team have full support and approval from decision-makers in their organization (e.g. Board of Directors, City Council, or other governing body, etc.) to participate in the project as proposed? Yes.
Conditional:
a. If any application team members still require approvals to participate in the project, please state which member, who has the authority to approve, the process for approval, and anticipated approval timelines.
None.
4. If your project area eligibility is based on location on tribal lands, please provide the name of the reservation, or if not part of a reservation, the address of the tribally owned facility.
N/A.