Jonathan A Erickson Fund Letter Of Intent Form

Jonathan A Erickson Fund Letter Of Intent Form

  • Complete this application proposal form and include all required documents for your project to be considered for funding. Incomplete applications will not be reviewed.
  • Projects will be funded between $5,000 and $25,000. Amendments to your request may be suggested.
  • Provide a brief summary of the purpose of your project, the expected impact on the health of the community and how it aligns with the Gogebic Range Health Foundation's mission and the Jonathan A Erickson Fund.
  • Briefly describe the efforts or activities of the project that will lead to the stated impact on community health.
  • Where will your program or project take place and whom is the targeted audience that it will serve?
  • The Gogebic Range Health Foundation will not serve as a primary funder. Please list your other funding sources.
  • Please provide a letter of support from your organization's director, governing board or overseeing authority.
    Max. file size: 2 GB.
  • Supporting documents could include, program reports from other similar programs, articles validating your program or projects or data that shows impact of your program.
    Drop files here or
    Max. file size: 2 GB.