541 – Community Application for a Community Engineering Corps Project
Thank you for your interest in submitting a project application for the Community Engineering
Corps. Before you continue, please be sure to read the instructional document that can be found
at www.communityengineeringcorps.org
 The 541 Community Application for a Community Engineering Corps Project is due by
8:00 a.m. Mountain Time on the first and third Monday of every month.
 The Application Review Committee will review the application and respond to the
submitter within 4 weeks.
Note: Community Engineering Corps does not provide cash donations or grants to communities.
Community Engineering Corps provides engineering expertise to communities or community based
organizations. Community Engineering Crops will generally provide no funding for the construction
of facilities implemented with a partner community or community based organization.
SECTION A: General Information
1. Today’s Date:
2. Please check one of the following boxes:
New Project Submitted by NGO and/or community-based organization with no ASCE, AWWA,
EWB-USA partner chapter or section affiliation
New Project Submitted by NGO and/or community-based organization in conjunction with
ASCE, AWWA, EWB-USA partner chapter or section (chapter or section has will submit a 542 Chapter or Section Application to Acquire a Community Engineering Corps Project to adopt this
project) with this 541 application
Please provide the following information if this application was prepared with an ASCE,
AWWA, EWB-USA partner chapter or section:
Name of Chapter(s) or Section(s):
Chapter or Section Contact person:
Chapter or Section E-mail Address:
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3. State/County (or State/Tribe if a tribal community partner):
4. Community Name:
5. Community Geographic Coordinates: Google Earth may be used to determine coordinates.
Use degrees and decimal degrees for latitude, longitude.
For example: 36.012199, -114.741142
SECTION B: Contact Information
1. Organization
a. Name of Requesting Organization:
b. Website of Organization:
c. Mission of Organization:
2. Primary Contact Person
a. Name:
b. Title:
c. Contact Email:
d. Contact Phone:
e. Contact Address:
3. Primary Project Facilitator
a. Name:
b. Title:
c. Contact Email:
d. Contact Phone:
e. Contact Address:
© 2014 Community Engineering Corps. All Rights Reserved
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SECTION C: Project Information
1. Please check ONE project type that best describes the services and needs addressed by the
first proposed project.
____ Water Supply
____ Sanitation (examples – latrine, gray water system, black water system, etc.)
____ Structures (examples – bridge, building, etc.)
____ Civil Works (examples – road, drainage, dam, etc.)
____ Energy (examples – fuel, electricity, etc.)
____ Agriculture (examples – irrigation, fish farm, crop processing equipment, soil improvement, etc.)
____ Information Systems (example – computer service)
____ Other – please describe
2. Describe the proposed project. Provide background information for the proposed project.
There should be sufficient information to allow the reader to understand the context of the
project.
3. Describe the problem that the proposed project is intended to solve.
4. What previous work has been done to solve the identified problem?
5. Who will own the facilities constructed in the project?
6. What are the anticipated positive impacts from this project?
7. What are the potential negative impacts from this project?
8. Additional Information: Please add any other information you think is relevant to this
project.
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9. How many people will be affected by this project in a certain geographic region (please
provide an estimated NUMBER of people affected -- not a description)
a) Directly Affected:
b) Indirectly Affected:
c) Geographic Area (5km radius, town, region etc.):
SECTION C: Community Description
1. Describe the community that is the beneficiary of the proposed project. Define the
community (for example, “The beneficiary community includes the 100 members of the
community garden cooperative”). Please describe the economic status of the community.
2. Why has the community not been able to complete this project using their own resources?
3. What will the partner community and community based organization contribute to the
assessment and implementation of this project?
4. What will the partner NGO contribute to this project? If there is no partner NGO please
state that.
© 2014 Community Engineering Corps. All Rights Reserved
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SECTION E: Signatures and Pictures
1.
Please add pictures that may be helpful to understand the project.
 Please add pictures as JPEG files
 WE WILL NOT ACCEPT PROJECT APPLICATION FILES THAT ARE OVER 2MB.
o (To add a picture as a jpeg, go to Edit  Paste Special, and choose “Picture (jpeg)”)
2. Please attach a letter of support from the community if the application was not prepared by the
community or the community based organization.
3. Please sign and date this form:
____________________________________________________________________________________
Signature
Date
____________________________________________________________________________________
Printed Name
E-mail Address
5) Submission information: Please email this application in MS Word format (it must be less than 1MB) to:
CECsubmittals@ewb-usa.org
© 2014 Community Engineering Corps. All Rights Reserved
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