Survey - Dr. Alberta Finch Children's Health Endowment Fund

Dr. Alberta Finch Children's Health Endowment Fund

Lehigh Valley Health Network - Pocono Foundation

(Grants available up to $3,000)

The grant application must be received by March 15, 2024.

Grants in support of enhancing prenatal and/or children’s health will be directed toward programs that support the Clementine Abeloff Community Health Center’s commitment to community outreach.

Collaborative endeavors are encouraged, as are programs that provide educational tools and services that foster individual responsibility for improving family health and wellness.

Policies:

Applications must be received at the LVHN-Pocono Foundation by March 15, 2024.
Grant applications will be accepted beginning February 1, 2024.
Notification of grant awards will occur by May 3rd.
Funds are committed on a one-time basis, although consideration will be given to further funding requests that are submitted in subsequent years.
Approval of a grant in no way implies a commitment to continue support in the future.

Recipient Requirements:

Use funds by March 1st of the following year.
Submit a final report to the Dr. Alberta Finch Endowment Fund Selection Committee indicating how the funds were spent, evaluation of the results, and any unforeseen problems.
Attend the Annual Grant & Scholarship Award Ceremony at LVH-Pocono on May 16, 2024.
Submit a letter of appreciation to the family of Dr. Alberta Finch.

Field Is Required Name of Requesting Organization: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required Address: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required City: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required State:

Field Is Required Zip Code:

Field Is Required Phone Number: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required Email: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required Contact Name: (Maximum response 255 chars, approx. 5 rows of text)

Field Is Required Contact Title: (Maximum response 255 chars, approx. 5 rows of text)

Briefly describe your organization's background and general scope of work:

Field Is Required Tax exempt under IRS Code:

Field Is Required Registration date:

Field Is Required Federal EIN:

Field Is Required Have you applied in previous years?

If yes, please list the year, amount requested, and amount received:

Field Is Required Total Budget for the Project:

Field Is Required Request amount:

Field Is Required Please list other sources of support and indicate status (received or pending):

Field Is Required Summary of grant request and how it supports LVH-Pocono's Mission (including current status, objectives, qualifications of personnel involved, timeline, and methods of evaluating results):

Field Is Required Name/Title of Applicant:

In addition, please send to Denise Du Bois at denise.dubois@lvhn.org: Proof of the latest IRS determination of tax-exempt status, a current operating budget for the organization, and a list of names and affiliations of officers and directors or trustees. If the organization has been classified or applied for classification as either a Section (A) (2) organization under the IRS code, it is necessary that you provide satisfactory information that the requested grant will not result in loss of your status as a publicly supported organization.

The application will not be accepted without this documentation.