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CPC CHSSP renewal form.docCOMMUNITY PRESERVATION ELIGIBILITY DETERMINATION FORM The purpose of this form is to make sure that all project applications applying for Community Preservation Act funding are eligible for funding. Please refer to Appendix-E in the Community Preservation Plan when filling out this form. This form must be approved in order for an application to be accepted. Project Title: Community Housing Supportive Services Project (#2)  Project Sponsor/Organization: Northampton Housing Partnership  Contact Name: Peg Keller  Property Owner, if applicable:  Mailing Address: 210 Main Street Northampton MA 01060  Daytime phone #: 413-587-1288 Fax #: 413-587-1275  E-mail address: pkeller@northamptonma.gov   CPA Program Area (check those that apply): � Open Space � Historic Preservation x Community Housing � Recreation   Project Purpose (check those that apply): � Acquisition � Creation � Preservation x Support � Rehabilitation/Restoration   Project Summary: Please provide a brief description of the project. The Northampton Housing Partnership seeks renewal funding for its Community Housing Supportive Services Project.  Funding was initially awarded to this project in 2014, and in the past 2.5 years, the project’s Community Resources Case Manager has provided stabilization services to nearly 60 tenant households at risk of eviction residing in community housing.  If renewed, funds would be used to continue to support the operation of this project currently administered through a sub-contract with the Center for Human Development.    For CPC Use Eligible: _____ Not Eligible: _____ Date: __________ Reviewer: ____________________