Title of Project/Proposal:
Amount Requested $
Please upload your answers to the following (.pdf):
1. Give a description of the project or proposed use of fund requested. Please include the purpose, need, target population and geographic area your organization will address with funds from this grant.
2. Please tell us how your project/proposal meets the goals of the Foundation.
3. Give a brief description of your organization. Please attach 501(c)3 IRS tax identification letter.
4. List the names and qualifications of the individuals who will implement this program/proposal.
5. Attach your organization’s budget for the current year.
6. Please attach any additional information that would help our decision.
233 Fulton Street, Suite 222
Grand Rapids, MI 49503
Kent County Medical Society
Michigan State Medical Society
Michigan State Medical Society Alliance
American Medical Association
American Medical Association Alliance