Grant Application for
Health Department of Northwest Michigan
Mission Statement:
The mission of Health Department of Northwest Michigan is to serve our entire community and to achieve health equity by promoting well-being, preventing disease, and protecting the environment through partnerships, innovation, and excellence in public health practice.
Fiscal agent if applicant is not tax exempt:
Tax ID Number:
30-0168590
Contact First Name:
Contact Last Name:
Melissa
Hahn
Address:
220 W Garfield Charlevoix, MI 49720
Email:
Phone Number:
231-347-5636
Website:
Project Name:
The Kangaroo Project
Project start and end dates:
June 1, 2024
May 31, 2025
Amount Requested:
$
0
Project Description:
Goal of the Project
How many people will you reach?
What percentage are female?
If your program serves both males and females, how will Hestia funds specifically target women and girls?
How are recipients identified or selected to receive services? Is financial need considered?
What do you hope to achieve? What difference will this make in the lives of women and girls?
How will this project meet Hestia's mission statement?
How will you evaluate or measure your success:
Grant Project Budget Form
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EXPENSES
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