In which neighborhood will your project make an impact?

West PullmanGreater Grand Crossing

Where will your project take place? (this is the specific location or address that your project will take place)

What is your project group name? (this will help Habitat Chicago identify and communicate with your group)

What is your project idea? (please provide as many details and specifics as you can)

Why do you want to do this project? (please share any relevant context and information that will help us understand why you want to do this project specifically)

How many people in total will your project affect? Please explain. (this number will include anyone engaged or impacted by the activities associated with your project)

Project Timeline and Execution

Please use this section to lay out any of the specific milestone dates associated with your project. We understand that each project is different, and that timelines may need to change. However, we ask that you do your best to fill out each section, and if there is a question that does not apply to your project you may leave it blank.

What is the approximate date that your group will begin working on your project?

When will you begin purchasing materials for your project?

If your project includes any event or work days, when will those be?

If your project is structured in phases, when will each begin and end?

When will your project be complete?

Are there any other key dates associated with your project? If so, please list them here

What specific strategies will you use to ensure the success of your project? (please explain your project plan, including your strategies for planning and executing your project)

What will the specific results of your project be? (please list any deliverables and outputs associated with your project)

Optional: Upload your project timeline (if you would like to submit a different version of your project timeline, please attach your form(s) here)

Project Budget

Please list all items and/or services you will need for your project, as well as their anticipated quantities and costs.* If you are receiving items through donation, you can add those in here with a cost of $0. Use the "Add another response" button to add as many additional line items as you need. Don't forget to include any applicable taxes and delivery fees.

If you prefer to upload an alternate budget form, scroll to the bottom of the page and upload your file.

*When entering in cost values on this form, please omit the dollar sign ($).

Name of item or service

Quantity

Cost per unit

Item total

Total amount requested

Optional: Upload your budget (if you would like to submit a different version of your project budget, please attach your form(s) here)

Contact Information

Please fill out the contact information below for everyone involved in the core planning group of your project. Your group must consist of three or more people. You can use the "Add another response" button to add additional group members to the form. Please note that everyone listed on this form will be expected to sign the Grant Acceptance Agreement if the project is approved.

Core Planning Group Member 1

First Name

Last Name

Address

Phone Number

Type of phone

City

State

Zipcode

Core Planning Group Member 2

First Name

Last Name

Address

Phone Number

Type of phone

City

State

Zipcode

Core Planning Group Member 3

First Name

Last Name

Address

Phone Number

Type of phone

City

State

Zipcode

Which of the listed group members will be the primary contact person for your project? (this is the person who will serve as the primary contact between your project group and Habitat Chicago)

Optional: Uploading Additional Files

You have the option of attaching additional files to your application if you feel that your project requires further explanation or if you would like to share more information with us. Examples may include posters, flyers, invoices, or screenshots of specific items related to your project.

You may use the "Add another response" button to add as many files as you need. Please note that this is not required to submit an application.

Upload additional files (optional)