Home Builders Charitable Foundation
STANDARD REQUEST FOR ASSISTANCE FORM
Organizational Information
Name of organization requesting support
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is the organization a public or private entity?
Public entity
Private entity
IRS EIN Tax ID Number
Please attach the organization's 501(c)(3) tax exemption designation
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Individual completing this form
First Name
Last Name
Title/Relationship to organization requesting support
Email
example@example.com
Phone number
###-###-###
Signature
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HBA Sponsor Information
PLEASE NOTE: The sponsor must be an HBA member, current contributor to HBCF (donated within the last 12 months) and provide a letter of support to accompany this request. If the organization has not received a grant in the past from HBCF, both a representative from the organization and HBA sponsor must be in attendance at the HBCF board meeting to present the request to the board. PLEASE ENSURE THE SPONSOR IS AWARE OF HIS/HER RESPONSIBILITIES. If you are unsure whether your sponsor is an HBA member and current HBCF contributor, please contact Jessica Hedges at HedgesJ@hbastl.com.
Name of HBA Sponsor
First Name
Last Name
HBA Member Company
Company name
What is the sponsor's involvement/financial commitment to the organization requesting support?
Upload letter of support from HBA Sponsor
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HBCF Request
Has the organization previously received funding from HBCF? If "Yes," please answer the following question. If "No," please note that both a representative from the organization and HBA Sponsor must be in attendance at the HBCF board meeting to present the request to the board.
Yes
No
If "yes," please indicate the date(s) when funding was provided and the amount(s).
Example: June 2023 - $15,000
Please concisely state the project description and the total amount requested.
Describe how the request is consistent with the HBCF Mission Statement: "The Home Builders Charitable Foundation is a non-profit organization dedicated to providing assistance in housing to people or organizations with special shelter needs to further the building industry objectives of bettering the community."
Upload project bids. PLEASE NOTE: Bids must be included for all work to be performed in order for a request to be considered. AT LEAST ONE BID MUST BE FROM AN HBA MEMBER. Please contact Jessica Hedges at HedgesJ@hbastl.com to request a list of HBA members that can bid on the type of work the organization needs completed.
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Did you include a bid from an HBA member?
Yes
No
Name(s) of HBA member company/companies that provided bid(s)
When does a decision need to be made and why?
Upload a copy of the organization's recent financials. PLEASE NOTE: The financials will be assembled as part of a PDF packet, so please ensure the document is not password protected or has security protocols that prohibits the document from being merged into another PDF file. If protected, please print the document, scan the pages and then attach the scanned file here (most financial documents are protected and will need to be printed and then scanned).
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Does the requestor understand that media publicity will be sought if HBCF support is given? HBCF Policy on Publicity: It shall be the policy of HBCF to obtain approval from a requestor, prior to a final HBCF decision being made, the right for HBCF to publicize in whatever public media that HBCF so desires, the decision made by HBCF. It also shall be HBCF’s right to keep an approved request from public media attention.
Yes
No
Does requestor understand that an update as to how the HBCF contribution was used is required? Before and after pictures along with the update are preferred. IF A FOLLOW-UP REPORT FROM THE ORGANIZATION'S LAST HBCF-FUNDED PROJECT WAS NOT RECEIVED, THIS APPLICATION WILL NOT BE CONSIDERED FOR FUNDING. Please email follow-up reports to Jessica Hedges at HedgesJ@hbastl.com. HBCF Follow-up Reports by Recipients: It shall be the policy of HBCF that recipients of HBCF resources must be willing to provide an update to HBCF, as to how the HBCF resources have been used by the recipient.
Yes
No
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After clicking the green "Submit" button below, please email Jessica Hedges at HedgesJ@hbastl.com to ensure the request was received. Thank you!
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