Pre-Application Please complete this pre-application to signal interest by your group of neighbors in the Renaissance Block Challenge. Enter the names and street addresses of group participants in the space below, followed by contact information for the group’s designated contact person. Please circle “R” for returning (for those properties that have been approved for the Renaissance Block Challenge in the past) and “N” for new (for those properties that are new to the program). Signature of group member Print name of group member Address of group member 1. ___________________________ __________________________ __________________________ O O 2. ___________________________ __________________________ __________________________ O O 3. ____________________________ __________________________ __________________________ O O ____________________________ __________________________ __________________________ O O 5. ____________________________ __________________________ __________________________ O O 6. ____________________________ __________________________ __________________________ O O 7. ____________________________ __________________________ __________________________ O O 8. ___________________________ __________________________ __________________________ O O Returning or New

Your group’s primary contact: Name __________________________________ Signature of group member Print name of group member Address of group member 9. ___________________________ __________________________ __________________________ O O 10. ___________________________ __________________________ __________________________ O O 11. ____________________________ __________________________ __________________________ O O 12. ____________________________ __________________________ __________________________ O O 13. ____________________________ __________________________ __________________________ O O 14. ____________________________ __________________________ __________________________ O O 15. ____________________________ __________________________ __________________________ O O Returning or New Your group’s primary contact: Name __________________________________ Phone _____________________ E-mail __________________________________ Submit pre-application by Friday, December 8, 2017 to: Mary Maxwell Jamestown Renaissance Corp. 301 East 2nd Street, Suite 301 Jamestown, NY 14701 Email: mary@jamestownrenaissance.org Phone: 716- 489-3493

How does your neighborhood cluster plan to achieve this objective? Please answer this question as a group activity. The Renaissance Block Challenge is a neighborhood revitalization program that encourages clusters of neighbors to collaborate on exterior improvements to their properties in order to build confidence in Jamestown’s neighborhoods and inspire others to reinvest. Proposed clusters should demonstrate a commitment to cultivating strong communications between neighbors and a shared sense of identity so that momentum gained in 2018 can be carried forward and result in a sustainable impact. How does your neighborhood cluster plan to achieve this objective? Hint: Go back to page 2 and review the point system. Particularly review the information in the “Organization” section. Then explain in writing how the cluster plans to demonstrate each of these objectives: Quality and reasonableness of plan to build cohesiveness and carry momentum forward Demonstrated communication between neighbors (i.e., phone tree, email list, Facebook page) Demonstrated sense of neighborhood identity (i.e., a name, established boundaries) Past and present group activities that demonstrate neighborhood building