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. f: :xi it . i•:1l, <br />Homelessness and Affordable Housing Funds <br />2017 Request for Proposals Application Form <br />lIMI <br />—Fields outlined in red [err.) r'egLJred** <br />PROJECT INFORMATION <br />Project Title: Senior Support and Advocacy Program (SSAP) <br />Project Site Name(s): HopeSource <br />Project Site Address(s): 700 East Mountain View Avenue, Suite 501, Ellensburg, WA 98926 <br />Which fund source is this proposal for? (select one, see Section 1 of the RFP for details) <br />0 Affordable Housing Funds <br />� Homeless and Housing Assistance Funds <br />Total Project Costs (including other funding and resources): $133,968.00 <br />Total Amount Requested (from Kittitas County Homeless Housing and Assistance or Affordable <br />Housing funds): $125,507.00 <br />Time Frame for Utilization of Requested Funds: January 21,2018- December 31, 2023 <br />City, Town or Unincorporated Area to be served: Kittitas County <br />APPLICANT INFORMATION <br />Name of Applicant Organization: HopeSource <br />Mailing Address: 700 East Mountain View Avenue, Suite 501 <br />City, State, zip: Ellensburg, Washington 98926 <br />Phone: 509-925-1448 <br />Fax: 509-925-1204 <br />Email Address: skgrindle@hopesource.us <br />