Community Health Care Grant Application

The Wilkes Medical Center Foundation awards grants to qualifying organizations that provide quality health care and health-related services and health prevention activities. The Foundation has a special interest in providing financial support for community health and wellness programs aligned with the community health needs assessment.

Applications for our Community Health Care grant program are currently being accepted.

Date of Application (mm/dd/yyyy) Project Title: Brief Summary (Describe your proposed program/project. List key activities and timeline. All programs/projects must be implemented in Wilkes County using local contractors): Total Program/Project Cost (please include a budget detailing the expenses): Amount of Funding Requested: Proposed Project Start Date: Proposed Project End Date: List the measurable outcomes that you expect to achieve. Include your goals, targets, and timeframes for each (how much, by when, etc.) How does this program/project improve the health or impact the well-being of the people of Wilkes County?

Identify the person who will be administering the project name contact information Name: Email: Phone: Submitted by: Company/Organization: Title: Address:

MyAtriumHealth

Community Health Care Grant Application