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1704 Bellefontaine St., Indianapolis, IN 46202

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Community Connection Survey

Our Vision

Intend Indiana envisions every person thriving in their communities.

Our Mission

Intend Indiana connects people to opportunity and advanced collaborative community development through equitable financing and housing solutions.

By completing this survey, you will help us build a community we can work with and connect with to encourage homeownership and affordable mortgage financing. The information collected will support outreach and engagement efforts across multiple communities.

Survey Alternative

If you’re not comfortable sharing contact information via this survey, we’re happy to connect via email or phone introduction instead.

Email: ahm@intendindiana.org
Phone: 317-924-8116
Address: 1704 Bellefontaine St., Indianapolis, IN 46202

Survey

"*" indicates required fields

Step 1 of 6 - Primary Industry / Sector

16%

Phone

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

Name*

First Last

Email*

Organization*

Primary Industry / Sector

Which sector best describes your primary organization or area of work?*

(Please select all that apply.)

School systems / Education

Hospitals / Healthcare

Nonprofits

Government / Public sector

Other

If you selected other, please specifiy*

Organizational & Contact Information

Please provide contact information for individuals you would like to include in Intend Indiana’s shared contact network.  You may include multiple contacts per organization, especially individuals involved in leadership, community engagement, partnerships, or program coordination.

School Systems / Education

Do you have a school systems or education institution you'd like to include?*

Yes

Contact Information*

To add additional contacts, please click the plus icon to the right of the row.

Full Name

Title/Role

Phone Number

Organization

City/County

Hospitals / Healthcare

Hospitals | Health Systems | Clinics

Do you have a hospital, clinic or health system you'd like to include?*

Yes

Hospital / Health System / Clinic Name*

Contact Information*

To add additional contacts, please click the plus icon to the right of the row.

Full Name

Title/Role

Phone Number

Organization

City/County

Nonprofits

Do you have a nonprofit you'd like to include?*

Yes

Contact Information*

To add additional contacts, please click the plus icon to the right of the row.

Full Name

Title/Role

Phone Number

Organization

City/County

Government | Public Sector | Police | Firefighters

Do you have a government agency, department and/or office you'd like to include?*

Yes

Contact Information

To add additional contacts, please click the plus icon to the right of the row.

Full Name

Title/Role

Phone Number

Agency/Dept

City/County

Other Organizations

i.e. Church, Manufacturer, Corporation, Childcare, etc.

Do you have another organization you'd like to include?*

Yes

Contact Information*

To add additional contacts, please click the plus icon to the right of the row.

Full Name

Title/Role

Phone Number

Organization

City/County

Intend Indiana is a nonprofit organization that envisions communities where quality of life, access to housing, and economic opportunities are not determined by race, socioeconomic background, or zip code. Intend Indiana advances comprehensive community development through innovative financing and development solutions that create and preserve affordable housing, support neighborhood revitalization efforts, and foster small business development.

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Contact Us

Address:
1704 Bellefontaine St., Indianapolis, IN 46202

Phone: 317-924-8116

Email: info@intendindiana.org