Forms & Applications
Currently, there are several forms available for the Community Health Initiative, Construction Projects, Goods & Services, the Management & Technical Assistance Program for Nonprofits, and the Management Assistance Program for Small Businesses in Adobe Acrobat (.pdf) and Microsoft Word (.doc) formats.
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To get the forms back to us quickly and efficiently, apply online or submit attachment via e-mail to bced@umn.edu, fax @ 612-625-9056 or by postal mail to: University of Minnesota,
Office for Business & Community Economic Development,
2221 University Avenue SE, Suite 136, Minneapolis, MN 55414
Quick Access to Forms
Community Health Initiative (CHI) Forms
For Students
Community Internship Application
Students seeking an internship with a community-based nonprofit organization or small business that focus directly on addressing public health issues or health disparities in underserved communities. Only full-time graduate and professional students in the Schools of Medicine, Public Health and Social Work are eligible to apply.
Click here for program details and participation requirements.
Online Application
Download Application [ , 61K]
Download Application [ , 68K]
Revised: 6/27/08
Student Consulting Project Application
Students seeking a consulting project with a community-based nonprofit organization or small business that focus directly on addressing public health issues or health disparities in underserved communities with building capacity and improving their overall performance. All graduate and professional students enrolled at the Twin Cities campus are eligible to apply.
For Nonprofits
Application for Student Internship
Community-based nonprofit organizations seeking an internship from a University of Minnesota graduate student. This Community Internship will assist organizations that focus directly on addressing public health issues or health disparities in underserved communities.
Click here for program details and participation requirements.
Online Application
Download Application [, 98K]
Download Application [, 48K]
Revised: 6/27/08
Application for Student Consulting Project
Community-based nonprofit organizations seeking consulting services from a University of Minnesota graduate student. This Student Consulting Project will assist organizations that focus directly on addressing public health issues or health disparities in underserved communities with building capacity and improving their overall performance.
For Small Businesses
Application for Student Internship
Small businesses in the health care or medical industry seeking an internship from a University of Minnesota graduate student. This Community Internship will assist businesses that focus directly on addressing public health issues or health disparities in underserved communities.
Click here for program details and participation requirements.
Online Application
Download Application [, 95K]
Download Application [, 46K]
Revised: 6/27/08
Application for Student Consulting Project
Small businesses in the health care or medical industry seeking consulting services from a University of Minnesota graduate student. This Student Consulting Project will assist businesses that focus directly on addressing public health issues or health disparities in underserved communities with building capacity and improving their overall performance.
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Construction Forms
Instructions to Bidders
This document explains the process for completing Bidding documents included in the Project Manual for University construction projects.
Document 00100.2008.pdf [, 45 KB]
Revised: 1/1/08
Targeted Business & Urban Community Development Questionnaire
Each Bidder must include Document ESB 658-A with their bid. Bidders who fail to include Document ESB 658-A with their bids will be deemed non-responsive and their bids will be rejected.
In the event a Bidder requires additional time to confirm ESB quotes for the project, they may FAX a “revised” copy of 658-A to the BCED office within twenty-four hours of the bid opening date. All bids will be scored twenty-four hours after the bid opening date.
Information received after the twenty-four hour window will not be accepted.
Document 00658-A.2008.pdf [, 24 KB]
Revised: 1/1/08
Targeted Business & Urban Community Development Scoring Guidelines
Document 00658-B explains the scoring guidelines for the 658-A. Information on the 658-B is for the bidders use only and should not be returned.
Document 00658-B.2008.pdf [, 20 KB]
Revised: 1/1/08
Workforce Utilization Report
Document 00659 must be completed on a monthly basis and sent to the BCED Department for the duration of the project. The completed form can be submitted by U.S. mail, FAX, or on-line directly to the BCED department.
Online Workforce Utilization Form
Document 00659.2008.pdf [, 20 KB]
Revised: 1/1/08
Targeted Business Total Payment Affidavit
Document 00660 shall be executed by the Prime Contractor after all work has been performed by the Targeted Businesses on the project. The signed affidavit can be submitted by U.S. mail or by FAX.
Document 00660.2008.pdf [, 14 KB]
Revised: 2/12/08
Targeted Business Verification of Completed Work
Document 00661 is completed by the Targeted Business and verifies that at least 75% of the subcontracted TGB work was actually completed by the Targeted Business to whom it was contracted. The signed affidavit can be submitted by U.S. mail or by FAX.
Document 00661.2008.pdf [, 15 KB]
Revised: 2/12/08
Construction Profile Form
Targeted Businesses that would like profiles of their products and services included in the BCED vendor database should complete the Profile Form. The BCED database is a point of reference to assist project managers in locating Targeted Businesses. Listing on the BCED database will not guarantee inclusion for bids or RFPs.
Online Construction Profile Form
UofM Construction_Profile_Form.pdf [, 142 KB]
UofM Construction_Profile_Form.doc [, 41 KB]
Revised: 11/1/06
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Goods & Services Forms
Targeted Business Utilization Report
This report must be completed on a quarterly basis and sent to the BCED Department for the duration of the project. The completed form can be submitted by email, U.S. mail or FAXed directly to the BCED department.
Targeted Business Utilization Report [, 11 KB]
Targeted Business Utilization Report [ , 74 KB]
Revised: 11/14/08
Attachment J
During the evaluation of Requests for Proposals (RFPs) involving contracts with a value greater than $500,000, each respondent is required to state their plan for the utilization of Targeted Businesses. This plan is outlined in the Attachment J of the RFP and typically constitutes 10% of the total scoring criteria.
Click here for program details and participation requirements.
Attachment J Form [, 19 KB]
Attachment J Form [, 38 KB]
Revised: 9/12/07
Back to Top Management & Technical Assistance Program (MTAP) for Nonprofits Forms
Nonprofit Application
Community-based Nonprofit Organizations who would like to receive technical assistance from student consultants that can help them improve operational, management and organizational effectiveness, enhance their overall performance and build capacity should complete this application.
Click here for program details and participation requirements.
Online Application
Application - Nonprofits.doc [, 104 KB]
Application - Nonprofits.pdf [, 77 KB]
Expectations - Nonprofits.doc [, 42 KB]
Expectations - Nonprofits.pdf [, 21 KB]
Online Evaluation
MTAP_MAP_Evaluation.doc [, 49 KB]
MTAP_MAP_Evaluation.pdf [, 26 KB]
Revised: 8/6/08
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Management Assistance Program (MAP) for Small Businesses Forms
Small Business Application
Small, woman-, minority-, and disabled-owned businesses that need developmental services and technical assistance should complete the Management Assistance Program for Small Businesses Application.
Click here for program details and participation requirements.
Online Application
Application - Business.doc [, 106 KB]
Application - Business.pdf [, 79 KB]
Expectations - Business.doc [, 42 KB]
Expectations - Business.pdf [, 21 KB]
Online Evaluation
MTAP_MAP_Evaluation.doc [, 49 KB]
MTAP_MAP_Evaluation.pdf [, 26 KB]
Revised: 8/6/08
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MTAP / MAP Student Consultant Forms
Student Application
Graduate and professional students who would like to work under the direction of the Office for Business & Community Economic Development to provide consulting services that help nonprofit organizations and small businesses improve their overall performance.
Click here for program details and participation requirements.
Online Application
Application - Student.doc [, 65 KB]
Application - Student.pdf [, 83 KB]
Expectations - Students (Nonprofits).doc [, 41 KB]
Expectations - Students (Nonprofits).pdf [, 21 KB]
Expectations - Students (Business).doc [, 41 KB]
Expectations - Students (Business).pdf [, 21 KB]
Online Evaluation
MTAP_MAP_Student_Evaluation.doc [, 60 KB]
MTAP_MAP_Student_Evaluation.pdf [, 31 KB]
Revised: 8/6/08
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