Forward Health Foundation Grant Application
Name on Contact Person
Phone Number of Contact Person
Please indicate the fund from which you are requesting support:
Cornerstone Employee Giving Fund
Community Health Needs
Briefly explain the project or equipment for which you are requesting funds.
How will this project address on of the Foundation's focus areas?
Prevention: Supporting efforts to prevent disease and promote healthy lifestyles
Enhance & Support Local Health Care: Supporting programs, initiatives and equipment that enhance patient care, resident care, and support providers and staff in their work.
Community Health Needs: Collaborating with area organizations who seek to improve health and quality of life residents in the Deer River Area.
What are your intended outcomes for the project?
All requests need and authorized signature:
Should be Empty:
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