2. What are your top three (3) priority areas that are most important to you?
4. Category Definitions:

   Public Health

   Including vaccination programs; medical care; testing; contact tracing; support for isolation or quarantine; supports for vulnerable populations to access medical or public health services; public health surveillance (e.g., monitoring case trends, genomic sequencing for variants); enforcement of public health orders; public communication efforts; enhancement to health care capacity, including through alternative care facilities; purchases of personal protective equipment; support for prevention, mitigation, or other services in congregate living facilities (e.g., nursing homes, incarceration settings, homeless shelters, group living facilities) and other key settings like schools; ventilation improvements in congregate settings, health care settings, or other key locations; enhancement of public health data systems; and other public health responses. Capital investments in public facilities to meet pandemic operational needs are also eligible, such as physical plant improvements to public hospitals and health clinics or adaptations to public buildings to implement COVID-19 mitigation tactics

    Negative Economic Impact 

    Eligible uses in this category include assistance to households; small businesses and non-profits; and aid to impacted industries. 

   Assistance to households includes, but is not limited to: food assistance; rent, mortgage, or utility assistance; counseling and legal aid to prevent eviction or homelessness; cash assistance; emergency assistance for burials, home repairs, weatherization, or other needs; internet access or digital literacy assistance; or job training to address negative economic or public health impacts experienced due to a worker’s occupation or level of training. 

   Assistance to small business and non-profits includes, but is not limited to: 

   • Loans or grants to mitigate financial hardship such as declines in revenues or impacts of periods of business closure, for example by supporting payroll and benefits costs, costs to retain employees, mortgage, rent, or utilities costs, and other operating costs; 

   • Loans, grants, or in-kind assistance to implement COVID-19 prevention or mitigation tactics, such as physical plant changes to enable social distancing, enhanced cleaning efforts, barriers or partitions, or COVID-19 vaccination, testing, or contact tracing programs; and 

   • Technical assistance, counseling, or other services to assist with business planning 

   Services to Disproportionately Impacted Communities

   Eligible services include: 

   • Addressing health disparities and the social determinants of health, including: community health workers, public benefits navigators, remediation of lead paint or other lead hazards, and community violence intervention programs; 

    • Building stronger neighborhoods and communities, including: supportive housing and other services for individuals experiencing homelessness, development of affordable housing, and housing vouchers and assistance relocating to neighborhoods with higher levels of economic opportunity; 

    • Addressing educational disparities exacerbated by COVID-19, including: early learning services, increasing resources for high-poverty school districts, educational services like tutoring or afterschool programs, and supports for students’ social, emotional, and mental health needs; and 

    • Promoting healthy childhood environments, including: child care, home visiting programs for families with young children, and enhanced services for child welfare-involved families and foster youth. 

    Infrastructure 

    Including treatment, transmission and distribution (including lead service line replacement), source rehabilitation and decontamination, storage, consolidation, new systems development, construction of publicly-owned treatment works, nonpoint source pollution management, national estuary program projects, decentralized wastewater treatment systems, storm water systems, water conservation, efficiency, and reuse measures, watershed pilot projects, energy efficiency measures for publicly-owned treatment works, water reuse projects, security measures at publicly-owned treatment works, and technical assistance to ensure compliance with the Clean Water Act; Broadband projects designed to serve unserved or underserved households and businesses, defined as those that are not currently served by a wireline connection that reliably delivers at least 25 Mbps download speed and 3 Mbps of upload speed.

6. First Choice*

   1. Public Health
   2. Negative Economic Impact
   3. Services to Disproportionately Impacted Communities
   4. Infrastructure
8. Second Choice*

   1. Public Health
   2. Negative Economic Impact
   3. Services to Disproportionately Impacted Communities
   4. Infrastructure
10. Third Choice*

    1. Public Health
    2. Negative Economic Impact
    3. Services to Disproportionately Impacted Communities
    4. Infrastructure
12. Please provide any additional input below
14. Are you a resident of Westmoreland County?*

    1. Yes

    1. No
15. Municipality
    -- Select One --Adamsburg BoroughAllegheny TownshipArnold, City ofArona BoroughAvonmore BoroughBell TownshipBolivar BoroughCook TownshipDelmont BoroughDerry BoroughDerry TownshipDonegal BoroughDonegal TownshipEast Huntingdon TownshipEast Vandergrift BoroughExport BoroughFairfield TownshipGreensburg, City ofHempfield TownshipHunker BoroughHyde Park BoroughIrwin BoroughJeannette, City ofLatrobe, City ofLaurel Mountain BoroughLigonier BoroughLigonier TownshipLower Burrell, City ofLoyalhanna TownshipMadison BoroughManor BoroughMonessen, City ofMt Pleasant BoroughMt Pleasant TownshipMurrysville, Municipality ofNew Alexandria BoroughNew Florence BoroughNew Kensington, City ofNew Stanton BoroughNorth Belle Vernon BoroughNorth Huntingdon TownshipNorth Irwin BoroughOklahoma BoroughPenn BoroughPenn TownshipRostraver TownshipSalem TownshipScottdale BoroughSeward BoroughSewickley TownshipSmithton BoroughSouth Greensburg BoroughSouth Huntingdon TownshipSouthwest Greensburg BoroughSt Clair TownshipSutersville BoroughTrafford BoroughUnity TownshipUpper Burrell TownshipVandergrift BoroughWashington TownshipWest Leechburg BoroughWest Newton BoroughYoungstown BoroughYoungwood Borough
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17. 1. Receive an email copy of this form.
18. Email address

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