2024 Fairview Trust IDD Integrated Housing Grants Application

Organization Summary
Organization Name*
Organization Listed above is a 501(c)(3) nonprofit?*

YesNo
Organization's Federal Tax Employer Identification Number (EIN)?*
Enter numbers only, no hyphen.
Organization Address*

Street Address

Street Address Line 2

CityState

Zip Code
What Counties does the organization currently provide services in or have projects in?*

Baker, ORBenton, ORClackamas, ORClatsop, ORColumbia, ORCoos, ORCrook, ORCurry, ORDeschutes, ORDouglas, ORGilliam, ORGrant, ORHarney, ORHood River, ORJackson, ORJefferson, ORJosephine, ORKlamath, ORLake, ORLane, ORLincoln, ORLinn, ORMalheur, ORMarion, ORMorrow, ORMultnomah, ORPolk, ORSherman, ORTillamook, ORUmatilla, ORUnion, ORWallowa, ORWasco, ORWashington, ORWheeler, ORYamhill, ORNo Oregon CountyOther
Organization's Preferred Phone Number*

Area CodePhone Number
Organization's Website Address*
https://www.example.org
Project Name*
Organization Overview
Describe your organization's experience and competencies in integrated housing development. If your organization is newer to integrated housing, please outline proposed strategies for gaining expertise or forming partnerships to ensure project success.*

1500 Character Limit0/1500
Project Description
Provide a detailed description of the project, ensuring to highlight how it aligns with the RFA's key goals, such as promoting community integration and universal design.*

2000 Character Limit0/2000
Which of the two options in this project scope section does your project best fit into?*
If your project is funded, how many additional units with a preference for people with IDD will you be able to develop? You may include a range of units, such as up to 15% or between 6-10.*

250 Character Limit0/250
Please describe the level of affordability you expect to provide for the units with a preference for people with IDD. For example, affordable to people earning 50% of Area Median Income (AMI). *

500 Character Limit0/500
Explain how your project promotes community integration for people with IDD, referencing specific strategies or approaches mentioned in the RFA. *

1000 Character Limit0/1000
Detail how your project will facilitate independent living for people with IDD, including your plans for collaboration with local service providers or case management entities. As part of your answer, please describe your relationship to a local service provider or plans to develop such a relationship.*

1000 Character Limit0/2000
You can find CMEs in your area by referencing the online list at https://www.oregon.gov/dhs/SENIORS-DISABILITIES/DD/Pages/county-programs.aspx.
Please describe how your project exceeds ADA standards in universal design and accessibility, specifically in the context of improving living spaces for people with IDD. This should relate to enhanced units as well as the overall building design.*

2000 Character Limit0/2000
(Optional) If you intend to use project funding to enhance the livability of common spaces, please describe how you plan to apply universal design principles in these areas.

2000 Character Limit (Optional Question)0/2000
Project Plan and Outcomes
Please provide a project timeline, including when project funding is expected to close, construction start, construction completion, tenant populations served, and lease-up schedule.*

2000 Character Limit0/2000
Describe your plan for evaluating the project's impact on IDD residents, including both qualitative and quantitative measures aligned with the RFA's objectives.*

1500 Character Limit0/1500
Requested Grant Amount
What is your total request for your proposed project?*
Funding Summary
Please download and fill out the budget template for this project. Please identify which Sources of Funding are Committed or Reserved as well as fill out the budget narrative below.
File Uploads

Please attach and upload the following items using the "Browse Files" button below:
- Project budget showing how our funds would be allocated.
- List of current board members, and bios
- Most recent audited financial statements
- 501(c)(3) tax-exemption letter from the IRS
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Attestation

Please complete and sign this Attestation and submit it with your application.

I confirm that the information presented in this application is true and accurate to the best of my knowledge. I confirm that I am authorized to submit this application on behalf of the project and all partners. I further confirm that Authorizing Resolutions have been approved by the nonprofit governing Board that grants me the authority to submit this application and enter into agreements to ensure the completion of the project described herein.
Name of the Person Submitting Application*
Title of Person Submitting Application*
Signature of Person Submitting Application*

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Date*

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Organization Summary

Organization Overview

Project Description

Project Plan and Outcomes

Requested Grant Amount

Funding Summary

File Uploads

Attestation