[Ingham County] Competitive Grant Pre-Application Interest Form

Ingham County Housing Trust Fund

Competitive Grant Pre-Application Interest Form

Organization Name

Organization Type

Year organization was founded

Contact Person

Name *

Title *

Contact Info

Phone Number

List Any Additional Project Partners (Organization names)

List Names and Title of Project Leads/Development Team Contacts

Projected Amount of Grant Request

Time Period Grant will cover

Project Title

Total project budget

Total organizational budget (current year)

Summarize the organization's mission (two to three sentences)

Summary of project for which you are requesting funds (two to three sentences)

Briefly describe what outcomes you hope to achieve with this funding and identify who will be the primary beneficiaries of the project (three to five sentences)