Hometown Fund Information Form

Tell us more

Please submit this information and our staff will reach out to you.
(We recommend submitting this form from your desktop.)

Hometown Information Form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

First Name*

Last Name*

Organization*

Email*

Project Description*

Please provide a brief description of the project (100–200 words)

Funding Type*

Capital funds

Predevelopment funds

Both

Not sure yet

Budget Overiew

Total project budget*

Amount currently committed*

Budget notes*

Any additional context about funding sources, gaps, or assumptions.

Purpose and Vision

150–250 words total across all three prompts below.

What is the driving "why" behind this effort? What community need, opportunity, or moment is calling this forward?*

If this project were wildly successful, what would be different in Roseburg in 5–10 years — and how does this effort connect to or advance broader community priorities, strategies, or momentum already underway? We welcome vivid, specific examples across areas such as economic vitality, civic life, education, family stability, or overall livability.*

What would success look like in the first 12–24 months?*

Catalytic Potential

Who are the key partners involved, and what roles do they play? What demonstrates their commitment?*

100–150 words

Additional Information

You are also welcome to share 1–2 additional existing documents or articles related to this project. Please attach them to this form when submitting.

Attachments

Drop files here or

Max. file size: 1 GB, Max. files: 2.

Document list

A list of document titles, if you've chosen to submit documents digitally.

Untitled