Get Application For Financial ... - Camc Health System - Camc

Completing the application for financial contributions from CAMC Health System is essential for organizations seeking funding. This guide provides clear, step-by-step instructions to ensure a smooth and accurate submission process.

Follow the steps to successfully complete the application form.

1. Press the ‘Get Form’ button to access the application form and initiate the filling process.
2. Enter the name of your organization and your Tax ID number in the specified fields. Ensure that this information is accurate to avoid processing delays.
3. Fill in the address of your organization. This should be the official business address.
4. Provide the contact person’s name and title within your organization. Include the contact person's phone number and email address for follow-up communication.
5. Describe the mission of your organization clearly and concisely. This section is crucial to convey your purpose.
6. Detail the service area and the population served by your organization. Include any relevant demographics that support your application.
7. List the primary services offered by your organization. Highlight services that align with the funding priorities of CAMC.
8. State the amount of funding you are requesting. Justify this amount with your funding request description.
9. Provide a detailed description of your funding request. Explain how the funds will be used and the impact they will have.
10. Identify any other sources of income or funding that your organization currently has. Transparency is key in this section.
11. Indicate the percentage of funding that will be allocated for administrative purposes. Be honest for the best chance of approval.
12. Answer the question regarding whether public acknowledgment of CAMC's contribution will be provided and describe how if applicable.
13. Specify whether your organization is a West Virginia nonprofit corporation. If not, describe your organization’s structure and status.
14. Indicate if your organization has 501(c)(3) or another tax-exempt status.
15. State whether your organization has a governing board and provide the name and address of the chairperson.
16. Indicate whether your organization has received funding from CAMC in the past, including details of the date and amount if applicable.
17. Check all applicable priority health needs that your request supports, such as obesity or access to healthcare.
18. Attach any additional information that may assist the Civic Affairs Council in considering your request, including letters of reference if available.
19. Once you have filled out all necessary fields, review the form for accuracy and completeness.
20. Save changes to the form, and choose to download, print, or share the completed application as needed.

Take the next step and complete your application for financial contributions online today.