HomeMy WebLinkAboutBozeman Workfoce Housing Fund Request WorksheetCity of Bozeman
Workforce Housing Fund Funding Request Application
Organization Seeking Funding
Organization Name:______________________________________________________________
Address:_______________________________________________________________________
Contact Phone Number: _______________Contact Email Address:_________________________
Project Information:
Project Name:__________________________________________________________________
Location of Project:______________________________________________________________
Project Description*:_____________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
*Attach project documents if desired.
Project Timing: _________________________________________________________________
# Affordable Dwelling Units to be Generated / Renovated:_______________________________
Area Median Income % Targeted:___________________________________________________
Project Partners (if applicable):_____________________________________________________
Does This Project Include Deed Restrictions or Community Land Trust?_____________________
Project Funding (Please Attach Budget if Available):
Total Project Budget:
Primary Project Funding Sources (list sources and amounts):
1.___________________________________________$__________________
2.___________________________________________$__________________
3.__________________________________________ $___________________
Amount Requested From Workforce Housing Fund: $_______________________
Which Project Elements Will Funds Be Used For? (attach line item budget if needed):
1._____________________________________ $__________________
2._____________________________________ $__________________
3._____________________________________ $__________________
Type of Funding Requested (circle one): Grant / Loan
If you selected Grant, would you consider a Loan if Grant was not available? Yes / No
Would you accept 50% of your requested amount? Yes / No
Would you accept 25% of your requested amount? Yes / No
Could the Grant / Loan be split among multiple years? Yes / No
Have you received workforce housing fund assistance in the past 5 years? Yes / No
Additional Information:
What additional funding sources have you solicited for this project?
__________________________________________________________________________
__________________________________________________________________________
What is the level of urgency behind the funding request?
__________________________________________________________________________
__________________________________________________________________________
If Workforce Housing Funds are not allocated to this project, how does impact the project?
__________________________________________________________________________
__________________________________________________________________________
Workforce Housing Fund
Scoring Sheet
For Use By CAHAB / Community Development
Date:________________________________________________________________________________
Project Name:_________________________________________________________________________
$ Funding Requested:___________________________________________________________________
Which Community Housing Action Plan strategy / action item does this project address?:____________
____________________________________________________________________________________
Rank the project from 1-10 based on the following criteria:
Criteria Score (1-10)
Viability of the proposed project: _________
Ability of this project to address a community need: _________
Alignment with Community Housing Action Plan: _________
Level of partnership with other organizations: _________
Alternate funding sources have been secured / solicited: _________
Thoroughness of the application / budget: _________
Perceived need for Workforce Housing funds for project viability: _________
Willingness to be flexible in grant / loan request: _________
Scope of project in terms of # of affordable housing units built / preserved: _________
Project’s generation of long-term or permanently affordable housing: _________
Total Score _________