CCHD Grant Application Form

Also see:

General Information

Name of Organization

Mailing Address

City, State ZIP Code

Phone Number

Amount Requested

Name of Contact

Contact phone

Contact Email Address

Has this organization received a CCHD Local Grant in the past?

Yes

If Yes, what years and in what amount?

What other means does thie organization have for raising the necessary funds?

Please attach a Word or PDF document with a project description of around 1000 words addressing the following questions:

What is the goal of the project or organization? // What problem is it addressing?
What will you be able to do with this grant that you would not be able to do otherwise?
How many people do you estimate will be helped by this program? In what ways?
To what extent, if any, do the beneficiaries have policy and decision making opportunities?

In addition, please include a budget of no more than one page in length.

Grant Application Project Description and Budget (Word Doc or PDF)

Project Website URL

Project Social Media URLs (Facebook, Twitter, Instagram, etc.)

What is 0 + 2 ?*