- Project name:
- Amount requested:
- Project start date:
- Project end date:
- Organization’s mission:
- Target population: Who will benefit from the equipment?
- Need: Why is this equipment purchase essential to the community or the applying organization?
- Health Impact: How will the equipment purchased help to improve the health of U.P. residents?
- Durability: What is the expected lifespan of this equipment?
- Budget: Please include detailed information on the equipment to be purchased, including specific pricing information, quotes, or invoices (when possible).
- Attachments: Please include the following attachments
- IRS determination letter or tax-exempt documentation
- Organizational chart
- Board roster
- Annual operating budget
- Most recent financial statements, 990, or audit
- Letters of support (optional)
