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

Grant 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

10. Date by which funds are needed:

11. Project start date:

12. Project completion date:

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:

Name

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