Your organization must register in order to access funding through DHCD. Please note that DHCD does not provide direct assistance to individuals. Only one profile per organization is allowed.

Organization Primary Profile Manager/Contact
The profile manager below will be responsible for receiving profile notifications and will be required to keep the profile up to date.
*First Name:		*Last Name:
*Contact Title:		Cell Number:	-  -
*Contact Phone:	-  -	Extension:
*Contact Email:

Organizational Information
*Organization Name:
*Street Address:		Address Line 2:
*City:		*State:	*ZIP Code:
Check this box if the organization address listed above is the mailing address.
*Mailing Address:      Address Line 2: *City: *State:      *ZIP Code:
*Phone Number:	-  -	FAX Number:	-  -
*Unique Entity ID (UEI):		*FEIN:
Organization Website:	(eg. www.mysite.com)
*Organization Type (Check all that apply):	Nonprofit Organization Developer Locality CHDO Planning District Commission Housing Authority State Agency Other (Private for profit) Tribal Government
Select all activities in which your organization is involved. This information will allow DHCD to send notices or contact you based on your area of work or interest. Select all that apply.
*Activity Type:	Homeless Service Housing Economic Development Infrastructure Community Development

Organizational Leadership

Check this box if the person listed above IS the organization's head or director.

*Director First Name: *Director Last Name: *Director Phone:  -  - *Director Email:

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