Connect to Everyone Application | Greater Health Now

All fields are required. Enter "n/a" if a question is not applicable.

Which of the following is the need your project will address? *

The following is a list of the Connect to Everyone funding priorities based on Community Health Needs Assessments, Healthy People 2030, and performance metrics.

Access to Care (transportation, telehealth, increase preventative care)

Nutrition (education, outreach, food insecurity, nutritional disease such as diabetes)

Workforce Development (promotion of a distributed and diverse workforce, education)

Social Connection (age-friendly ecosystems, behavioral health, resiliency, promotion of community engagement)

Name of Your Non-profit Organization *

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Organization EIN *

Total Amount Requested *

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Program/Project Title *

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Program/Project Description *

Briefly describe in 200 words or less the program/project you are seeking to fund.

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Are you collaborating with other community organizations on this program/project? If so, please list. *

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Primary Age Group Served *

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Primary Population Served *

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How many individuals do you estimate will be served by this program/project? *

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How was need determined? What evidence do you have that this is an issue or concern for the people you are serving? Provide any data you have that justifies the need, describes the access or service gap, etc *

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Are you receiving funding for this project/program from any other source? *

Please describe the desired measurable outcomes and the anticipated timeline. *

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Please describe how you intend to measure and report on the effectiveness of the project/program. *

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Required Documents *

ie: budget worksheet and letter of support. To upload multiple files, hold down Control/Command while you click each file.

Contact Information

Name *

First Name

Last Name

Title *

Email address *

Website *

Phone number *

Address

Address 1 *

City

ZIP / Postal Code

State / Province