Grant Request | Home Builders Association of Southeastern Michigan

Scope of Request*

Describe how request is consistent with the Foundation mission and vision statements.

Charitable Organization Information

Organization Name

Date of Incorporation:

Address*

Street Address City State ZIP Code

Phone

Fax

Executive Director

Project Contact

Project Contact Title

Project Contact Phone

Project Contact Email

Organization Mission Statement

Summarize the organization’s mission, or attach information.

Organization Accomplishments

Educational Request

Recipient Name

Institution Name

Area of Study

Requested Amount for Financial Assistance

Project Request Information

Please identify the project/s and provide the following information for each project for which you are requesting funds or other assistance. Feel free to add additional pages as needed. If you have multiple projects please copy these pages and provide information on each project separately.

This Request is For

Financial Assistance

Industry Expertise

Requested Amount

Project Type

If your request is not for a specific project, please attach a detailed description of the use for which you require funds and how said use meets the Foundation’s Mission.

Single Family for sale

Multi Family single site for sale

Visible Revitalization (facades, streetscapes, home repair etc.)

Single Family rental

Multi Family rental

Commercial (retail/office)

Multi Family scattered site

Other

Specify Project Type

Project Description

Project Summary

Description and site information (what, where, why, purpose).

Total development costs, rents or sale prices:

Description of use of HBA Foundation Grant

The proceeds of the grant will be used to…

Visible Impact

Past Neighborhood Project?

Does the project build on a past neighborhood project? Please specify.

Date you presented your project/s to the municipality

If budget requires program operating support, please describe:

Project Status

Please check the boxes below to indicate which stages your project has completed at the time of this application. Check all that apply.

Formed the Development Concept

Feasibility Study

Deal Making: Planning & Financing

Project Construction

Project Sale or Operation

Timeline for Completion

Please indicate projected timeline for completion (anticipated completion date).

Attachments

Please attach the following information with your completed request:
- Copy of the IRS 501 (c) (3) Determination Letter
- Copy of the organization’s Board of Directors and affiliations
- Current operating budget
- Current audit, within the last two years
- Project budget, including sources of revenue
- Site plan and aerial
- References

Drop files here or

Accepted file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, zip, jpg, jpeg, png, gif, Max. file size: 64 MB.

Charitable Organization Grant Request Form

Charitable Organization Information

Educational Request

Project Request Information

Project Description

Project Status