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Important Messages from Mueller
Download Printable Helping Hand Application Form
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2024 Helping Hand Application
Application Requirements (must be met prior to May 24, 2024): • Applications must be received on or before May 24, 2024. • Applications must be completed by the organization, not on behalf of one. • Land for the proposed building must be owned by the organization. • Foundation work for the proposed building is funded by the organization and must be completed by a firm deadline of September 15, 2024. • Organization must have a current 501c3 non-profit status.
2024 Helping Hand Application
2024 Helping Hand application page 2
2024 Helping Hand application page 3
2024 Helping Hand Application
Indicates Required Fields
Organization Information
Organization Information
Organization Name
Non-Profit #
Charter Date
Address
County
Phone:
Website:
Contact Name:
Title:
Contact Phone #:
Email Address:
Property Information
Property Information
Do you own the property?
Yes
No
Do you own the property?
Required
Is the location of the project within city limits?
Yes
No
Is the location of the project within city limits?
Required
Describe property, including size:
(Approximate Size)
Proposed property address:
Are there restrictions with local building codes in the area?
Yes
No
Are there restrictions with local building codes in the area?
Required
If yes, please explain:
Next
2024 Helping Hand application page 2
Indicates Required Fields
Property Information – Continued
Property Information – Continued
Does the planned building site interfere with any existing easements or rights of way on the property?
Yes
No
Does the planned building site interfere with any existing easements or rights of way on the property?
Required
If yes, please explain:
Organizational Structure, Purpose & Services
Organizational Structure, Purpose & Services
What is the purpose of your organization?
How many people do you serve?
What services do you offer?
Why are these services important to your clients?
How did the organization begin?
Do you have a board of directors?
Yes
No
Do you have a board of directors?
Required
If yes, please describe:
Do you have an executive director?
Yes
No
Do you have an executive director?
Required
If yes, please provide contact information:
Facility Information
Facility Information
How would a Mueller metal building make a difference in your organization and benefit your surrounding community(s)?
What challenges are you facing with your current facilities?
List the activities you have already completed to accumulate funds for a new building (i.e. fundraising, grants, etc):
2024 Helping Hand application page 3
Indicates Required Fields
Facility Information - Continued
Facility Information - Continued
What size of structure would best suit your organization’s needs? (up to 4,000 square feet, maximum 14’ eave height, maximum 4/12 pitch)
Give a brief description of building requirements (walk doors, roll-up doors, windows, etc):
Facility Funding
Facility Funding
The recipient of this award is responsible for foundation, slab, plumbing, electrical, etc. How would your organization fund these expenses? (Proof of financial responsibility may be required)
Infrastructure must be in place by September 15, 2024. Can your organization meet this requirement?
Yes
No
Infrastructure must be in place by September 15, 2024. Can your organization meet this requirement?
Required
Comments:
What are your organization's sources of income?
Does any of your funding come from government entities (local, state, federal)?
Yes
No
Does any of your funding come from government entities (local, state, federal)?
Required
If yes, please explain:
How did you hear about Mueller’s Helping Hand Project? (Check all that apply)
Magazine/Newspaper
Radio
Facebook
Friend/Family
Other
How did you hear about Mueller’s Helping Hand Project? (Check all that apply)
Required
References
Please list references for your organization - people who have directly benefited from your organization’s services (must not be members).
References
Please list references for your organization - people who have directly benefited from your organization’s services (must not be members).
Reference #1
Name and Phone number
Reference #2
Name and Phone number
Reference #3
Name and Phone number
Disclaimer and Signature
By signing and submitting this application, our organization agrees to the official contest terms and conditions and confirms that all information provided in this application is true and accurate.
Disclaimer and Signature
By signing and submitting this application, our organization agrees to the official contest terms and conditions and confirms that all information provided in this application is true and accurate.
Signature:
Date Submitted
Application must be received no later than May 24, 2024
Application must be received no later than May 24, 2024
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