Proposal For The Use of
CDBG or HOME Program Funds
For the operating period Beginning October 1 through September 30.
Name of Applicant:
Address:
Telephone:
FAX:
Contact Person:
Telephone # of Contact:
DUNS:
EIN:
Legal Status:
( Private for-profit corporation, private non-profit corporation, public, other. Provide State Corporation certificate, articles of incorporation, by-laws, list of members of the board of directors and executive officers, certification of federal non-profit status, and staff resumes )
Amount and type of funds requested:
Project Description:
(See CDBG/HOME program descriptions. Include what is to be done, who will benefit, when will it be done, where will it be done, and who will do it? Use as many pages as needed.)
Describe the staff’s experience and qualifications to carry out the proposed activity and provide staff resumes
Budget:
Provide a line item budget & line item personnel budget, when needed. Also include a cost allocation schedule showing all proposed sources and uses of funds.
Provide a schedule for the completion of activities.