OnePierce Community Resiliency Fund Request

Potential applicants must complete an Expression of Interest form in order to begin a conversation with OnePierce regarding potential funding.

Request Funding From OnePierce

Applicant Information

Applicant Name

Job Title

Email

Phone

Organization Information

Organization Name

Year Founded

Website

Annual Revenue

Avg Annual Revenue over Past 3 Years

Number of Paid FTEs

Financing Need

Purpose of Requested Funds

Type of Facility

If Applicable

Type of Outcomes-Based Financing Pay for Success investmentShared savings risk capital

Financing Amount Requested

Brief Description of Funding Uses

Social Determinants of Health Impacted by Project Physical healthBehavioral healthAffordable or supportive housingWorkforce developmentFood and nutritionTransportationEarly childhood development

Additional Attachments

Financial statements for the previous three years

Request Funding From OnePierce

Applicant Information

Organization Information

Financing Need

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