Mini Grant Application

To support our joint missions of creating healthier communities and enhancing quality of life, we are offering workplaces in Androscoggin County the opportunity to apply for a mini grant to support their workplace wellness initiatives.

Applications received will be judged by the Mini Grant Committee and top scorers will receive awards between $200-500. Funding for the program was provided by the former Wellness Council of Androscoggin County. Applications are due by September 29, 2017 and winners will be announced via email on October 11, 2017.

Requirements
  • Must have at least one worksite in Androscoggin County.
  • All questions in the Survey Monkey must be completed.
  • Applications must be submitted by September 29, 2017 end of business day.
  • Winners MUST attend Healthy Androscoggin’s Annual Meeting on November 2, 2017 from 5-7pm to be awarded their grant at our Award Ceremony.
  • Winners must submit a press release to local news about how they used the funds and thank Healthy Androscoggin, the Lewiston Auburn Metropolitan Chamber of Commerce, and the former Wellness Council of Androscoggin County. Healthy Androscoggin will provide a press release template.
  • Winners will need to submit a W-9 form to Healthy Androscoggin in order to receive their mini grant.

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* 1. Contact Information

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* 2. How many years has your wellness program or initiatives been in operation?

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* 3. Briefly describe your wellness program/initiatives.

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* 4. Describe 2-3 successes you have accomplished with your program or initiatives. If you are starting out, describe the steps you have done or will do to start your program.

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* 5. Who leads your wellness initiatives or program? Committee? Full-time staff? Contractor? Other?

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* 6. Give us a brief description of your grant request and how you will use the funds.

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* 7. Dollar amount of grant request.

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* 8. What will your program or initiatives accomplish through this funding?

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* 9. If you receive less money than you requested, what would the impact on your program/initiatives be? Be as specific as possible. (We realize you may have to alter your program based on reduced funding).

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* 10. If you encounter barriers to your initiatives or program, how would you address them?

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