HomeMy WebLinkAboutCommunity Housing Fund Request Application v1 Community Housing Fund Funding Request Application Page 1
City of Bozeman
Community 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: _________________________________________________________________
Which Community Housing Action Plan strategy / action item does this project address?____________
___________________________________________________________________________________
# Community Dwelling Units to be Generated / Renovated: ____________________________
Area Median Income % Targeted: ___________________________________________________
Project Partners (if applicable): _____________________________________________________
Indicate how this project ensures permanent or long term affordability:
Deed Restriction ______
Land Trust ______
Other ______
Please explain: _________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Project Funding (Please Attach Budget if Available):
Community Housing Fund Funding Request Application Page 2
Total Project Budget:
Primary Project Funding Sources (list sources and amounts):
1.___________________________________________$__________________
2.___________________________________________$__________________
3.__________________________________________ $___________________
Amount Requested From Community 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
When would the funds requested need to be received in order to optimize the benefit of the
funds requested for the project? __________________________________________
Have you received Community housing fund assistance in the past 5 years? Yes / No
Additional Information:
What additional funding sources have you solicited for this project?
__________________________________________________________________________
__________________________________________________________________________
Community Housing Fund Funding Request Application Page 3
What is the level of urgency behind the funding request?
__________________________________________________________________________
__________________________________________________________________________
If Community Housing Funds are not allocated to this project, how does impact the project?
__________________________________________________________________________
__________________________________________________________________________