Eleanor and Henry Jansen Foundation Grant Request

Grant Proposal
The Eleanor & Henry Jansen Foundation, a supporting organization of the Chuckanut Health Foundation, was founded in 1998 to honor the legacy of philanthropy shown by Eleanor & Henry Jansen in their lifetime. The Foundation offers support to nonprofit organizations in Whatcom County for various programs and projects, especially those with a focus on youth. Please see below for the Foundation’s grant criteria.

Applications are accepted quarterly, with the following deadlines: January 2nd, April 1st, July 1st, and October 1st.

Grant criteria:
1. While the Board does not exclude requests from a broad geographical area, especially areas of interest to Lynden Inc. and family members, the focus will be on Whatcom County requests and programs.
2. An occasional grant for overhead/administrative expenses may be considered, but the primary focus will be on projects that directly impact a large number of people in the Whatcom County area.
3. Special consideration will be given to projects that were important to Eleanor and Henry Jansen during their lifetime.
4. As our next generation of leaders, programs serving the youth of this community will receive priority when considering grant requests.
5. Organizations that have a substantial volunteer base should emphasize this in their grant application.
6. The Foundation is concerned that organizations look to all sources available for funding. Applicants should list their financial support sources and other parties from whom they are requesting and/or receiving funds. Projects that are requesting partial funding, with the remaining funds to come from other matching sources, are encouraged.
7. In general, the Foundation does not award grants for projects that have already been completed.
8. The Board may request reports on the grants and projects as they are underway or once completed.
9. Proposals of 1-2 pages are appreciated (not including budgets, financial statements, or addendums); additional information may be requested as necessary.
Organization
Applicant Organization
Tax ID #
Are you fiscally sponsored?
Name of fiscal sponsor
Mailing address
Checks will be mailed to this address. Please ensure accuracy.
City, State, Zip
Telephone
Website
Contact name and title
Contact email
Please provide a brief description of the organization and its qualifications in the area for which funds are sought
Project Overview
Project/program name
Amount requested
Brief summary of grant request
20 words or less
Total project budget
Number of people impacted (estimated)
Does this project involve volunteers?
Total volunteer hours (estimated)
Narrative
What do you hope to accomplish with this grant? What is the intended or projected impact, and who will this benefit?
How do you plan to achieve the goals you've set out? Are you able to demonstrate measurable outcomes? How are you measuring success?
Who are your organizational partners in this work? Who are your other financial supporters?
Anything else you would like us to know?
Attachments

Please upload all files as PDFs
Project Budget

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Organizational Budget

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Balance sheet and income statement for most recent fiscal year

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List of names and primary affiliations of the organization's Board of Directors

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501(c)3 tax exemption letter, fiscal sponsorship agreement, and/or documentation of structure or designation

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Form W9 (current year)

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Audited financial statement (optional)

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By typing my name below, I certify that the information provided in this application is true and accurate to the best of my knowledge, and that I am authorized to submit this application on behalf of my organization.
Name
Date

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Name
Title
Email
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Grant Proposal

Organization

Project Overview

Narrative

Attachments

By typing my name below, I certify that the information provided in this application is true and accurate to the best of my knowledge, and that I am authorized to submit this application on behalf of my organization.