Healthy Kids Coalition Grant Application

The Healthy Kids Coalition Fund was created in 2005 through the dissolution of a Coalition between nine members including the City of Long Beach, California State University at Long Beach, Junior League of Long Beach, Long Beach Community Medical Center, Long Beach Unified School District, Memorial Miller Children’s Hospital, St. Mary Medical Center, The Children’s Clinic, and Westside Neighborhood Clinic.

When it was originally founded, the Coalition provided a support network for students of the Long Beach Unified School District who would not otherwise have access to basic healthcare services. When the Coalition was disbanded, an endowed fund was created at the Long Beach Community Foundation.

GRANT PURPOSE
Organizations and/or service providers who are able to address basic healthcare needs for underserved children residing in Long Beach are encouraged to apply.

HOW TO APPLY?
Complete the application below with the required attachments. Successful candidates whose application is highly aligned with the grant purpose may be asked to submit additional information or schedule an interview.

Submissions are due no later than 5 pm on Tuesday, June 30, 2020.

AWARDING GRANTS
Grants will be awarded based on the program qualifications outlined in the submitted application and selected by the Board-appointed Grants Selection Committee. The Committee will review submitted applications, select successful candidates, and make recommendations for funding. Awardees can expect to be notified in August 2020.

AMOUNT
Grants will be awarded between $1,000 and $3,000.

Any application questions can be addressed by contacting the Long Beach Community Foundation at info@longbeachcf.org.

1. ORGANIZATION INFORMATION

Legal Business Name:

Other or Previous Name:

Address:

City:

State:

Zip:

Tax ID#:
Organization Status: (e.g. 501(c)(3))
Website URL:

First Name of Highest Ranking Officer:

Last Name of Highest Ranking Officer:

Title of Highest Ranking Officer:
Mission:
Current Annual Operating Budget:

2. CONTACT INFORMATION

Contact First Name:

Contact Last Name:

Contact Title:
Primary Phone:
Secondary Phone:
Email Address:

3. PROGRAM/PROJECT DETAILS

Grant Purpose (one short sentence):
Is this a New or an Existing Program/Project? NewExisting

Total Cost of Project: $

Requested Grant Amount: $

Approximate # of individuals who will be served with this grant:

4. LETTER OF INTENT

Answer all three questions. (500 word/3000 character max per question)
a) What is your project and why is it a fit?
(Describe the project) 0
b) How will you know you have succeeded and how will you sustain the program after grant funding is expended?
(Explain how you will measure and communicate the results of your work and continue the program in the future)0
c) Who are you?
(What makes your nonprofit the right group to do this work? Describe your background, history, mission, leadership, partners, and projects)
0

5. UPLOAD REQUIRED ATTACHMENTS

PDF is the only acceptable file type. Please name your files with your organizational name, underscore, and name of attachment. For example LBCF_boardofdirectors.pdf, LBCF_budget.pdf, LBCF_signedletter.pdf. Please do not use any special characters, or periods in your file name, it will prevent you from uploading your document.

a) List of the organization’s governing body and its officers showing business, professional, and community affiliations. Please describe how the organization’s Board provides personal contributions of time and financial support.

b) Grant Request Budget (Please download this template, add your information, and then upload your saved PDF file.)

c) A signed letter from the CEO, President, or Executive Director of the 501(c)(3) organization demonstrating their support of the grant application. (As a potential grantee of a Long Beach Community Foundation Strategic Grant, please be aware of the following. Submission of this proposal indicates your organization’s permission for LBCF staff and Board to review the proposal. Materials submitted to LBCF as part of the proposal process will be used as LBCF deems appropriate. They are not subject to any right of confidentiality unless specifically agreed to in writing by LBCF.)