CHF GRANT GUIDELINES

Application:

Grant applications should be as brief as appropriate to present necessary facts about the applicant and the project for which the grant is requested.  One to two pages with enclosures if needed.

Eligibility:

  • Grant applications are only accepted from not-for-profit organizations.  501(c)3 or government #'s.  
  • The Curry Health Foundation Grant Program supports projects, programs and equipment that are directly related to physical and mental health in Curry County
  • The Curry Health Foundation provides equal opportunity for all.

Amount Requested:

  • Grants of $500 to $2,500 per item, project or program will be considered.
  • Grants are limited to a total of $5,000 per organization.

The Curry Health Foundation WILL NOT FUND the following:

  • Individuals
  • Fund raising activities
  • Ongoing labor or payroll costs
  • Travel
  • Any expense not directly related to healthcare in Curry County
  • Endowments
  • Office equipment, supplies, etc.
  • Debt retirement, operational deficits, financial emergencies, etc. 

Information Required:

  • A cover letter signed by the person authorizing the grant request.
  • Name, title, telephone number of the contact person and an alternate contact name and number.
  • Not-for profit affirmation.
  • A narrative proposal describing the applicant organization, the project for which funds are requested, the people to be served, the number of people affected and the program life.
  • An explanation of how this project contributes to healthcare in Curry County.
  • An explanation of how the orgainzation will sustain this project in ensuing years, of applicable.
  • A detailed budget for the project.
  • Can the program succeed with zero or partial funding from the Curry Health Foundation? Please explain.
  • Supply original plus one copy of the entire application (download application BELOW).

 

 

 

GRANT APPLICATION

 

Name of Agency or Organization:

___________________________________________________________________________________________________________________________

Project/Program Title:

___________________________________________________________________________________________________________________________

Contact Person:                                                                                                                         Telephone:

___________________________________________________________________________________________________________________________

Mailing Address:

___________________________________________________________________________________________________________________________

Street Address:

___________________________________________________________________________________________________________________________

Confirm Non-Profit Status (ein#):

___________________________________________________________________________________________________________________________

Total Organization Operating Budget Current Year: $_________________________________________________________________________________

Budget Year from:__________________________to___________________________

Sources of Income for this Project:

  •           Government                               _____________%            
  •           Individual Contributions             _____________%
  •           Fundraising special events        _____________%
  •           Foundation Grants                     _____________%
  •           Other grants                               _____________%
  •           Fee based services                    _____________%
  •           Other                                          _____________%
  •           Total                                                               100%

Attachments (3):

  1. Outline of proposed project.
  2. Detailed budget for project/program proposed.
  3. Partnering agencies (if applicable) and contact persons.

Signed by:____________________________________________________________________________________

Title:_______________________________________________________Date:_____________________________