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SOCIAL SERVICES FUNDING REQUEST
2022-2023 BUDGET YEAR
HEALTH & HUMAN SERVICE FUNDING REQUEST
INFORMATION SHEET
As the Town and County begin preparations for the 2022-2023 Fiscal Year Budget considerations, we
issue the attached Funding Request Forms. To aid in the application process, the Town of Jackson
and Teton County budget offices are using an identical application form for both Town and County
funding.
We recognize the challenges we all face, but with the signs of continual economic recovery, both
bodies may consider modest funding increases IF an increase of services/community need or a
reduction in State or Federal funding is demonstrated in the attached application narrative.
Health and Human Services
1. Continuing the effort to streamline the budget review process, minor changes have been made
to the Funding Request (excel spreadsheet) and Justification Form (online form
https://tetoncountywyo.formstack.com/forms/hhs_funding_request_2023) Please carefully
review the revised form and respond completely to each question.
Community Development
1. Continuing the effort to streamline the budget review process, minor changes have been made
to the Funding Request (excel spreadsheet) and Justification Form (online form Community
Development Funding Justification Form - 2023 - Formstack). Please carefully review the
revised form and respond completely to each question.
2. When filling out the form, please pay particular attention to the following two questions: (1)
Organization’s Mission Statement and Strategic Priorities, and (2) Description of the
Organization’s Primary Programs. The answer to these questions should specify how funds
will be appropriated and what services your organization agrees to provide to the people of
Jackson and Teton County. If approved, this information will be included as the Provision of
Services outlined in Exhibit A of the contract.
3. A complete application package (Funding Request, Justification Form, and required
attachments) must be submitted.
4. Please submit only the information requested. Additional materials, such as program brochures
or photographs, will not be forwarded to the Town Council or Board of County Commissioners.
5. The application deadline for both Town and County requests is 5:00 p.m., Monday March 28,
2022. Please return the applications with attachments, electronically by clicking the submit
button at the bottom of the online Justification Form.
6. Just a reminder – for FY2021-2022 there was an additional request of a wrap-up report in the
Attachment A for Teton County funding. You will need to complete this before you will receive
any funding for FY2022-2023.
Upon receipt of the completed package, the Town of Jackson and/or Teton County will contact agencies
as to remaining steps of the 2022-2023 budget process, including when discussions about funding will
be happening, tentatively scheduled for Monday April 25, 2022.
If you have any questions concerning this procedure, please feel free to contact Melanie Adams at the
Town of Jackson, madams@jacksonwy.gov 733-3932, or Maureen Murphy, Teton County Clerk,
mmurphy@tetoncountywy.gov 732-8418. Thank you for your service to our community.