Form Naa-01 - Connecticut Neighborhood Assistance Act (Naa) Program Proposal - 2017 Page 2

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Part II — Program Information
Check the appropriate description of your program:
100% credit percentage
Energy conservation; or
______
Comprehensive college access loan forgiveness (see Conn. Gen Stat. §12-635(3)).
______
60% credit percentage
Job training/education for unemployed persons aged 50 or over;
______
Job training/education for disabled persons;
______
Program serving low-income persons;
______
Child care services;
______
Establishment of a child day care facility;
______
Open space acquisition fund; or
______
Other (specify):
______
_________________________________________________________________
Description of program:
___________________________________________________________________
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_________________________________________________________________________________________
_________________________________________________________________________________________
Need for program:
________________________________________________________________________
_________________________________________________________________________________________
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Neighborhood area to be served:
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Plan to implement the program:
____________________________________________________________
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Form NAA-01
(Rev. 03/17)
Page 2 of 5

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