COMMUNITY FOUNDATION OF THE UPPER PENINSULA
2420 1ST Avenue South; Suite 101, Escanaba, MI 49829
Phone: 1-906-789-5972; Fax: 1-906-786-9124;
E-mail:
GRANT APPLICATION – MENTAL HEALTH
Information For Grant Applicants
Grant Amounts: Grant amounts depend on the number of people served and the justification for your request.
Projects/Programs Eligibility: Grants under this program must involve mental health for youth and adolescents, including suicide prevention, with an emphasis on at-risk children and adolescents and Native Americans. Grants will only be made to eligible organizations and under this program GRANTS CANNOT BE MADE TO ANY ORGANIZATION OR GRANT THAT REQUESTS FUNDS DUE TO A REDUCTION OF FUNDS FROM A LOCAL, STATE OR FEDERAL GOVERNMENT PROGRAM.
Grant Application Period: Completed Grant application requests may be submitted at any time. The CFUP Board of Trustees MUST approve all grants PRIOR to their being final.
Who May Apply for a Grant: Non-profit 501(c)(3) organizations and other eligible organizations (sub-divisions of government including city, township, county, state, federal and tribal and school districts) within the nine (9) county area covered by CFUP affiliates (Alger, Delta, Gogebic, Ontonagon, Luce, Schoolcraft, Mackinac (not including Mackinac Island), Chippewa (Rudyard and Tahquamenon areas) and West Iron County.
Requirements Following a Grant Award: Grant recipients MUST sign and return the grant agreementprior to written request for grant money. Recipients MUST submit a written report to the committee within 30 days (or make arrangements with CFUP) of the completion of the project/program on how the funds were expended as well as an assessment of the success or impact of the project/program.
Outcomes to be Achieved Through This Grant Opportunity: The Community Foundation of the Upper Peninsula (CFUP) includes nine community foundations located in the Upper Peninsula (UP) of Michigan. There is a significant lack of counseling services available for our children. According to major hospitals in the UP the greatest health need in the UP is access to mental health. CFUP requested this grant from the Michigan Health Fund Foundation to help develop a coordinated system of support that will increase access to mental health services for children and adolescents in the UP. Our project will expand counseling services including universal prevention programs, early intervention programs for students that need more support, and more intensive mental health services for students with greater needs.
Outcomes we hope to achieve include: 1) increased access to counseling and mental health services, 2) improved collaboration between school and community programs in order to expand mental health services available to students, 3) increased understanding of mental health by students, families, school staff and community members, and 4) decreased mental illness and improved mental health for children and adolescents.
Use of funds: The CFUP will provide targeted re-granting that will fund multiple projects for nonprofit organizations to address the mental health needs of children and adolescents. Grant categories are based on our needs assessment and the Mental Health Intervention Spectrum (Substance Abuse Mental Health Services Administration SAMHSA, 2015): 1) Increase access to metal health services for children and adolescents. 2) Implement research and evidence-based Mental Health Promotion, Prevention, Treatment, and Recovery programs, and 3) Increase awareness and understanding about mental health needs and services. We will also use some of the funds to provide training related to mental health needs and evidence-based programs, leadership development, and meeting the needs of Native American students.
COMMUNITY FOUNDATION OF THE UPPER PENINSULA
MICHIGAN HEALTH FUND FOUNDATION
MENTAL HEALTH GRANT APPLICATION
COVER SHEET
Date of Application:
Legal Name of Organization Applying:
(Should be same as on IRS determination letter and as supplied on IRS Form 990).
Year Founded:Current Operating Budget: $
Contact Person:Title:
Principal Address of Administrative Office:
City/State/Zip:Phone Number:
Fax Number:E-mail address:
Project Name:
Existing Project?yes noNew or Innovative Project yes no
Note: No grant will be made to replace “lost” funds from any governmental source.
Purpose of Grant:
Target Population:Number of Students:Grade Level:
Specific Geographic Area Served:
Dates of the Project:Amount Requested: $
Total Project Cost: $Matching Funds? yes no How Much $
(Printed Name)(Date)
(Signature, Project Director)
FOR OFFICE USE ONLY
Board Action:ApprovedDenied Date:
Amount: $Fund:Michigan Health Fund Foundation
B. Grant Application --- NARRATIVE
Please provide the following information in the order given.
This narrative should briefly explain why your organization is requesting this grant, what outcomes you hope to achieve and on what you will spend the grant funds. Please do not exceed2 pages.
This summary should include:
- Statement of needs/problems to be addressed.
- Description of target population and how they will benefit.
- Description of project goals and objectives (measurable, if possible) and a statement as to whether this is a new or ongoing part of the sponsoring organization.
- Plans to accomplish goals and objectives.
- Timetable for implementation.
- Who are the other partners in the project (if any) and what are their roles?
- Long-term strategies for funding this project if it is to continue past the grant period.
- Plans for evaluation. This should explain how success will be defined and measured. Include impact on participants and/or the community in your evaluation.
- Description of how the grantee organization will publicize the grant to help bring in new donors to the foundation and provide credit to the Michigan Health Fund Foundation.
In addition, please submit the following information about your organization. Please do not exceed 1 page.
- A brief summary of your organization’s history.
- It’s mission and goals.
- A description of current programs, activities and accomplishments.
- A list of your board of directors with affiliations.
C. GRANT BUDGET FORMAT
Below is a listing of standard budget items. Please provide the budget only for the project/program for which you seeking a grant.
A. Organizational fiscal year: ______
B. Time period this budget covers:______
C. Expenses: include amounts ( ) to be used from this grant ( ) for the total project.
Grant Amount Requested Total Project Expense
Professional Fees$______$______
Travel$______$______
Printing, Copying, Supplies$______$______
Telephone and Fax$______$______
Postage and Delivery$______$______
Rent and Utilities$______$______
Evaluation$______$______
Marketing$______$______
Other (specify)$______$______
Total Amount Requested: $______Total Project Expenses: $______
Revenue: Please indicate which sources of revenue are committed and which are pending.
Committed Pending
1. Grants/Contracts/Contributions
Foundations (itemize)$______$______
Corporations (itemize)$______$______Individuals $______$______
Other (specify)$______$______
2. Earned Income
Events$______$______
Publications and Products$______$______
3.Membership Income$______$______
4.In-Kind Support$______$______
5.Other (specify)$______$______
6.Total Revenue$______$______
Updated 02/2017