STRATEGIC GRANTS

Our Strategic Grants support mental health providers in ways that increase and strengthen programs, such as:

Training.
Implementation of a new or innovative service stream to the community.
Strategies to address the shortage of mental health care professionals
Expansion of current programs
Tools or materials for therapy

The grant is not for degree programs/materials, travel costs, or general marketing.

Organization Name

Address

Phone

Contact Person

First name

Last name

Phone

Profit or nonprofit organization

Profit

Nonprofit

Purpose of the organization, including a mission statement and goals

Year Incorporated

Tax ID

Current sources of funding

Approximate annual income of organization

Grant request amount

What is the primary purpose of the funding request and your expected outcomes

Describe how funds would be used if awarded. Please attach a preliminary budget, including cost breakdown and justifications.

Budget attachment

Requirements

Within one year of receipt, provide a detailed report on the grant’s use with testimonials of its impact.
Provide a “Final” detailed report of the grant’s use before requesting additional funding.
Partner with us by prominently displaying LightMHK’s logo in your business and mentioning the LightMHK grant in your publications.

I hereby state that the information given herein is true and correct. I authorize any required verification bureau report. I understand that if this information is determined to be false or deceptive, I and/or my organization will be liable for repayment of grant funding. I understand that this request for financial assistance may not pertain to health care other than mental health.

I agree

E-signature Responsible Party Signature

By signing this form electronically and clicking “Submit Signature,” you agree to the terms stated herein.