Title of Project/Proposal:
Amount Requested $
Please upload your answers as a PDF file to the following in this order:
1. Create a cover letter by downloading our mini grant application and filling it out.
2. Describe the project/proposal. Include the purpose, need, target population and geographic area your organization will address with funds from this grant.
3. List the names and qualifications of the individuals who will implement this project/proposal.
4. Attach project budget. Be specific.
5. How does your project/proposal meet the goals of the Foundation?
6. Give a one page or less description of your organization.
7. Attach your organization’s budget for the current year.
8. Attach your organization’s 501(c)(3) IRS tax identification letter.
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