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  • Sentara Health Foundation Community Recognition Grant Application Section 1 Org Name: Document 1

Get Sentara Health Foundation Community Recognition Grant Application Section 1 Org Name: Document 1

On Grant Application Page 1 of 6 GRANT APPLICATION DOCUMENT 1 - EXECUTIVE SUMMARY CEO/Exec Dir: Phone: Email: Proposal Contact: Phone: Email: Org: Organization EIN: Addr1: City: Addr 2: State: Zip: Brief description of the program/project and what you are trying to accomplish with the requested funding: Provide a brief summary of the unmet need: (350 characters maximum including spaces) Brief description of target population: (150 characters maximum to include spaces) List up to.

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How to fill out the Sentara Health Foundation Community Recognition Grant Application Section 1 Org Name: Document 1 online

This guide provides clear and detailed instructions on filling out the Sentara Health Foundation Community Recognition Grant Application Section 1 Org Name: Document 1 online. By following these steps, users can ensure they complete the application accurately and efficiently.

Follow the steps to successfully complete your grant application.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the name of your organization in the 'Org Name' field. Make sure to spell the name correctly and use the official registered name.
  3. In the 'CEO/Exec Dir' section, input the name of the organization's chief executive officer or executive director. Ensure the contact information is current.
  4. Fill in the 'Phone' and 'Email' fields for both the CEO/Exec Dir and the Proposal Contact. This ensures that communication can be maintained effortlessly.
  5. Provide the organization's EIN (Employer Identification Number) in the designated field. This is crucial for identification purposes.
  6. Enter the organization's address in the 'Addr1', 'Addr2', 'City', 'State', and 'Zip' fields. Verify that the address corresponds with what is on file for the organization.
  7. Craft a brief description of the program or project in the allocated space. This should succinctly explain what the grant funds will support.
  8. Summarize the unmet need in the community, ensuring it does not exceed 350 characters, including spaces.
  9. Describe the target population in less than 150 characters, focusing on who the program or project will serve.
  10. List up to three specific, measurable, and quantifiable objectives of the program or project, ensuring each one does not exceed 150 characters, including spaces.
  11. Indicate the total amount requested in the 'Amount Requested' field, and ensure the foundation’s contribution does not exceed 25 percent of total program costs.
  12. Estimate the number of people anticipated to be served by the program or project.
  13. Complete the insurance status section by entering percentages for Medicare, Medicaid, Private/Commercial Insurance, and Uninsured/Self-Pay, ensuring they total 100%. If not applicable, fill in 'N/A'.
  14. Select the service area from the provided options and list any relevant cities.
  15. Identify which of the Sentara Foundation Priorities your program/project addresses by selecting the appropriate option.
  16. After completing Sections 1 and any subsequent sections required, users can save changes, download, print, or share the completed form as needed.

Start filling out your application online today to take the first step toward securing funding for your community project.

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STRENGTHENING COMMUNITIES about advancing health equity and ensuring that all members of our communities have access to the resources they need to live their healthiest and most fulfilling lives.

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 130 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S. Mid-Atlantic and Southeast, and among the top 20 largest not-for-profit integrated health systems ...

Looking for the Sentara Health Plans website? Sentara Health Plans is a full-service health plan with products for groups and individuals, as well as Medicaid, and Medicare including Special Needs (SNP) plans.

- Providers should use 54154 payer ID.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232