Build Project Interest Form

Build Project Interest Form

HomeAid North Texas builds and renovates housing facilities for organizations serving people experiencing or at risk of homelessness in the State of Texas. Over HomeAid’s 36-plus-year history, projects average a 40-60% in-kind donation rate, a substantial construction cost savings. HomeAid North Texas typically prioritizes projects where at least 75% of the construction budget has been secured. However, we encourage organizations with a clear path to full funding to apply, as a HomeAid partnership can often serve as a catalyst for your remaining capital campaign efforts.
Section 1: Organization Information
Tax ID Number*
Organization Name*
Organization's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Organization Website*
Executive Director / CEO*

First NameLast Name
ED/CEO's Phone Number (Mobile Preferred)*
Please enter a valid phone number.Format: (000) 000-0000.
ED/CEO's Email*
example@example.com
Applicant: Name of person submitting this application (If different from above)

First NameLast Name
Applicant Phone
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Email
example@example.com
Section 2. Who Do You Serve?
Organization's Mission Statement
Abused childrenAdults with DisabilitiesChildren/YouthChronic HomelessDevelopmentally DisabledDomestic ViolenceElderly/Older Adults/SeniorsEmancipated youthExiting correctional facility/Formerly incarceratedFamiliesFragile infantsHIV/AIDSHuman TraffickingKinshipLGBTQ+MenMentally illOtherPregnant/Teen Moms & their childrenPregnant MinorsReentry/Second ChanceSex Trafficking VictimsSubstance abuseVeteransWomenWomen and ChildrenWomen in crisis pregnancyYoung Adults 18-22/Aging Out of Foster CareYouth w/ Disabilities
HousingOutreachCase ManagementAddiction RehabilitationMental Health ServicesHIV/AIDS-related programsEducationEmployment AssistanceChildcareTransportation AssistanceLegalLife Skills
Tarrant CountyDallas CountyDenton CountyCollin CountyRockwall CountyEllis CountyJohnson CountyParker CountyWise CountyGrayson CountyAll DFW Metroplex
How many clients do you serve annually?
Government FundingGrantsCorporate DonorsIndividual DonorsSpecific FoundationsOther
Section 2: Project Information
Name of proposed project:*
Project address, if different from organization address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Website (if existing):
Key Contact for the project:*

First NameLast Name
Key Contact's email (if different from above):
example@example.com
Key Contact's Mobile Number (if different from above):
Please enter a valid phone number.Format: (000) 000-0000.
Emergency (1 to 5 nights)Short Term Transitional (1 to 6 months)Long-Term Transitional (7 to 24 months)Permanent SupportiveAffordable HousingSupport Program (food pantry, training program, etc.)
How many beds will be added (or preserved) through the project, if any?
How long do you expect clients to stay at the facility?
Enter number of months
If no beds are added, how many more people will be served each year?
Square footage of proposed project:
Will the clientele served be the same as selected above (population served)? If not, please list who this project will allow you to serve.
Anticipated Project Start Date:

MonthDayYear
Date
Anticipated Project Completion Date:

MonthDayYear
Date
Project Budget Information
Do you have an estimated construction budget? If so, what is it?
Total dollar amount of funds committed to date for this project:
Please list the anticipated sources of revenue for the construction of the project:
Section 3: Service Provider Covenants
Service Provider acknowledges and agrees that it bears the ultimate financial responsibility for the completion of the project and that HomeAid North Texas' contribution to the project is limited to in-kind donations of materials and labor. Accordingly, the Service Provider has diligently and thoroughly investigated and disclosed above all available and potential funding for the project.Service Provider acknowledges its obligation to install and maintain a plaque or similar marker recognizing HomeAid North Texas' contribution to the project and featuring the HomeAid logo. Such a commemorative marker shall be displayed in a prominent location at the completed project.Service Provider acknowledges and agrees to provide, when requested and where reasonable, information to HomeAid North Texas and HomeAid America on client success rates, client service numbers, and program evaluation information.Applicant (aka Service Provider) acknowledges its obligation to give due credit to HomeAid North Texas in any and all press releases, public announcements, award programs, or other publicity about the project. Service Provider agrees to obtain HomeAid North Texas' approval for any and all press releases, public announcements, awards programs, or other publicity about the project. Any such publicity that is not disapproved within seven (7) days shall be considered approved.Service Provider acknowledges its obligation to send notice to its donor base promptly after this application is approved advising them of the contribution HomeAid North Texas has agreed to make to the project. Such notice shall be shown to and approved by HomeAid North Texas' Executive Director prior to such mailing.
Yes
Yes
Yes
Yes
Yes
Section 4: Certification
Service Provider certifies that it does not engage in unlawful discrimination of any kind with respect to the persons benefited by Service Provider’s activities.Service Provider has read this Project Interest Application and agrees that, should the project be approved, the Service Provider will abide by the covenants contained herein.Service Provider certifies that all information in this application is true and correct as of the date entered.The person filling out this form is duly authorized to execute this document on behalf of the Service Provider as of the date entered.
Yes
Yes
Yes
Yes
Thank you for your application!

We look forward to speaking with you soon. For questions or comments, contact HomeAid North Texas Executive Director Scott Sheppard at scott@homeaidnorthtexas.org or 817-944-8989
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Build Project Interest Form

Section 1: Organization Information

Section 2. Who Do You Serve?

Section 2: Project Information

Project Budget Information

Section 3: Service Provider Covenants

Section 4: Certification

Thank you for your application!