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H.E.R.O. Mobile Tool Library Application

This document is an application for a non-profit organization or neighborhood group to use the tools and resources available through the H.E.R.O. Mobile Tool Library program. The application requests information about the organization such as name, address, contact details for the director, and names and phone numbers of additional authorized users. It notes that authorized users must complete volunteer training through H.E.R.O. and informs applicants to notify the office in writing of any changes to authorized users.

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5 views1 page

H.E.R.O. Mobile Tool Library Application

This document is an application for a non-profit organization or neighborhood group to use the tools and resources available through the H.E.R.O. Mobile Tool Library program. The application requests information about the organization such as name, address, contact details for the director, and names and phone numbers of additional authorized users. It notes that authorized users must complete volunteer training through H.E.R.O. and informs applicants to notify the office in writing of any changes to authorized users.

Uploaded by

api-26568546
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Revised 12/07

NON-PROFIT ORGANIZATION/NEIGHBORHOOD GROUP


APPLICATION
For 1017 W. Lapeer St.
Homeowner Education Resource Organization H.E.R.O. Mobile Tool Lansing, MI 48915
Greater Lansing Housing Coalition (517) 372-5980 x13
Library Program

Organization Information (Please Print):


Name_________________________________________________________ Federal Tax ID Number _________________________

Street Address________________________________________________________________________________________________

City, State, Zip Code____________________________________________ Phone Number _________________________________

Email Address: _________________________________________________

Director/Administrator Information (Please Print):


Director/Administrator__________________________________________________ Title___________________________________

Street Address________________________________________________________________________________________________

City, State, Zip Code___________________________________________ Home Phone Number _____________________________

Applicant’s Signature ___________________________________________ Date ______________________

Please provide the names and phone numbers of any additional persons authorized to use the H.E.R.O.
Mobile Tool Library for your organization. * Must complete HERO volunteer training.

Name______________________________________________________________ Phone Number____________________________

Name______________________________________________________________ Phone Number____________________________

Name______________________________________________________________ Phone Number____________________________

Name______________________________________________________________ Phone Number____________________________

If there are any changes to the names listed above authorized to use the H.E.R.O. Mobile Tool Library,
please notify our office in writing or call at 517-372-5980 x13.

For Office Use Only

Identification Number _____________________________ CDBG Service Area Yes No

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