Grant Application | The Dalton Foundation

Details for Dalton Foundation Grant Application Process

Due to an overwhelming response and the many strong partnerships we have already established we will not be taking any additional grant requests for the 2020 year. However, we will continue to offer the support for those organizations looking for medical equipment for the remainder of 2019. Thank you to everyone who has applied, if you have any questions please contact our Foundation Director; Barbara Campbell at Bcampbell@thedaltonfoundation.org

Window for application:
May 1, 2019 – August 31, 2019

Exceptions:
Organizations appling for medical equipment grants and other special needs/emergencies that may arise throughout the year and pending grants with partners

Grant Review Period:
September 1, 2019 – November 30, 2019

Finalist:
Those selected as finalist will be asked to schedule an interview with the Dalton Foundation Team during the months of October and November to answer more detailed questions about their project and plans

Final Decisions:
December, 2019

Funds:
Fund disbersment will begin as appropriate by January 2020

Preliminary Grant Application

This preliminary grant application must be submitted prior to a detailed full grant proposal. If requested, a full grant proposal will be due within 30 days after submission of this preliminary application.

1. Personal contact soliciting Grant:
Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone - Best Contact Number:
Phone - Secondary Contact Number:
Employment:
Title:
Email:
2. How did you become acquainted with Dalton Family Foundation?
3. Charitable organization associated with the project:
Website:
EIN:
Responsible Party:
Name:
First Last
Title:
Phone - Best Contact Number:
Phone - Secondary Contact Number:
Email:
4. Brief history of the sponsoring organization:
5. Indicate the program area(s) below, for which this application should be considered:
- Healthcare
- Addiction, Recovery, and Re-entry
- Women & Children
- Veterans
6. Name of project and what problem are you solving?
7. Total amount required to complete the project:
8. Dollar Amount Requested:
9. Will a lesser amount be accepted?
- Yes
- No
10. Date by which funds are needed:
Date Format: MM slash DD slash YYYY
11. Project start date:
Date Format: MM slash DD slash YYYY
12. Project completion date:
Date Format: MM slash DD slash YYYY
13. Brief Project Summary / Describe the need: (250 words or less):
14. How will you measure outcomes for this project?
14. Personal Contact References:
A. Personal:
Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone - Best contact number:
Phone - secondary contact number:
Employment:
Title:
Email:
B. Professional:
Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone - Best contact number:
Phone - Secondary contact number:
Employment:
Title:
Email:
Phone
This field is for validation purposes and should be left unchanged.