2024 Chili for Charity
Application to "Pitch" on March 7, 2024
* Please Read First! *
We are looking for community agencies and organizations who have innovative ideas to reduce the impact of mental illness and/or addiction on individuals and families. In order to respond to current and emerging challenges related to mental and behavioral wellness in our community, Activate Allen County and the Mental Health and Recovery Services Board of Allen, Auglaize and Hardin Counties (MHRSB) are partnering to provide Community Mini-Grant Funds. After reviewing the eligibility and funding requirements, please fill out the following form to indicate that you would like your project/program or idea to be considered. Please keep in mind that the pitch WILL take place on March 7, 2024 from 11:30-1 and you will need to be present to present your idea to those in attendance. This form is due no later than February 9, 2024. If you have questions, please contact Josh (junterbrink@activateallencounty.com) or Kayla (kmonfort@activateallencounty.com) at Activate Allen County.
Applicant Organization
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Project/Program Title
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Contact Person
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Contact E-mail
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Contact Phone Number
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Organization Address (Include City and Zip)
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Select County or Counties where residents are served
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Allen
Auglaize
Hardin
Will the project/program target one or more of the following special populations? Please explain in the narrative section.
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People with low income or education level
People with disibilities
Black residents
Hispanic residents
Immigrants or English language learners
Older adults (65+)
LGBTQ+
Pregnant women
At-risk Youth
Applicant Organization Background
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Provide a brief background of your orgnaization, including mission and vision.
Project Narrative
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Provide a general description of the project including how the project will meet the funding priorities of the Community Mini Grant and reach the target population indicated.
Project Goals and Anticipated Impact
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List project goals, estimated number of participants, and estimated impact numbers.
Outcomes and Evaluation
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List measurable outcomes and how the project will be evaluated for success.
Projects will be funded between $2,000-$7,000. Please discuss below how you can modify your idea as needed to fit awarded amount.
Attach Grant Budget Here (Please fill out using your "optimal" funding request)
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