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FUNDING APPLICATION

Our COVID emergency response funding is typically intended to be used within 4-8 weeks of receipt to help meet urgent, basic human needs of priority vulnerable populations. Click here for requirements.

If you are providing this services and are in need of grant funding, please complete this application.

• This is a rolling submission process. There is no deadline. You may submit an application at any time over the coming months.
• We will continue to award rounds of COVID grants every 1-2 weeks.
• Once you apply, you will be considered in all of our subsequent COVID grant rounds. There is no need to resubmit.
• Please only submit a second application if a new need arises or your organization has significant changes to services or programs.

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* 1. Contact Info

Contact Name *

Organization Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

County *

Email Address *

Phone Number *

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* 2. President/CEO/Executive Director

Name

Email Address

Phone Number

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* 3. Organization EIN#

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* 4. Have you received any COVID-19 Response Fund grant funding from the Community Foundation of Western Massachusetts?

Yes

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* 5. Geographic area you're serving (Select all that apply)

Franklin County

Hampden County

Hampshire County

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* 6. Critical population(s) you're serving (Select all that apply)

Food insecure

First responders/healthcare workers/essential workers

Homeless

People with disabilities

Immigrants

Families disproportionately affected by the crisis

Other (please specify)

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* 7. Critical need(s) you're addressing (Select all that apply)

Assisting vulnerable communities with access to resources

Providing food

Providing shelter

Providing direct health care

Other (please specify)

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* 8. Our emergency response funding is typically intended to be used within 4-8 weeks of receipt. Tell us about whom you are serving and how you are meeting their needs within that timeframe. (500 characters)

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* 9. Enter the amount of funding that would help your organization provide services/activities within a 4-8 week timeframe. The average grant size is $25,000. Enter a number between $5,000 and $75,000. (Numbers only. No commas)

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* 10. What services or activities would you provide with such funding? (500 Characters)

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* 11. Please estimate the number of people that would be served/impacted in that timeframe. (Numbers only)

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* 12. Could your organization provide an update every two weeks on how much of the grant was spent and # of people served?

Yes