Permission is granted ONLY to nonprofit community-based organizations to reproduce and/or adapt this document, and only for their own use.
Write how many units of affordable housing your organization has built or completely rehabilitated. (Note whether the units are rental or owner-occupied.)
Units in Planning Stage |
Units Under Construction |
Units Completed/Occupied |
||||
Rental |
Owner |
Rental |
Owner |
Rental |
Owner |
|
| 3 bedroom | ||||||
| 2 bedroom | ||||||
| 1 bedroom | ||||||
| Efficiency | ||||||
Write the number of households that your organization has assisted in the following housing-related activities.
| Number of Households: | |
| Individual homebuyer counseling (pre-purchase/credit repair): | __________ |
| Homebuyer pre-purchase education classes: | __________ |
| Individual homebuyer counseling (post-purchase/payment): | __________ |
| Post-purchase home maintenance classes: | __________ |
| Other: ___________________________________________ | __________ |
| Other: ___________________________________________ | __________ |
List the names of other nonprofit, government, or business entities that your organization is currently partnering with on housing-related activities from which your group can obtain letters of support.
| Group name: | Have letter of support? | |
| ________________________________________________ | _____Yes | _____No |
| ________________________________________________ | _____Yes | _____No |
| ________________________________________________ | _____Yes | _____No |
| ________________________________________________ | _____Yes | _____No |
| ________________________________________________ | _____Yes | _____No |