Pre-Request Form Pre-Request Form Name of Organization(Required)Website(Required) Contact Name(Required) First Last Contact Email(Required) Contact Phone Number(Required)Does the proposed project serve people in Wayne, Oakland and/or Macomb Counties?(Required) Yes No Does the proposed project align with one of the priority areas of The Jewish Fund, as described on the website? Which area?(Required)Jewish Health and WelfareHealth of Metropolitan Detroit/ Early Childhood HealthHealth of Metropolitan Detroit/ Access to HealthcareA Shared Life in DetroitWhat length grant term are you are requesting?*(Required)1 year2 years3 years*Please note that requests made under the Health of Metropolitan Detroit priority areas are only eligible for 1 year grants (with possibility to request an additional year of funding after the grant is approved). What type of grant are you requesting? (program, capacity building, capital), etc.(Required)Capacity BuildingCapital/EquipmentPilot ProgramProgram Support/ExpansionResearchWhat is the dollar amount you plan to request?(Required)In one sentence, what is the specific purpose of the grant?(Required)In 3-4 sentences, describe what problem are you trying to address with this idea/program.(Required)In 3-4 sentences describe what specific outcomes you are seeking from this project.(Required)This field is hidden when viewing the formHave you defined an evaluation plan and a sustainability plan? Yes No Requests with defined evaluation and sustainability plans are more likely to be positively considered. How do you plan to evaluate the project and sustain it beyond the grant term?(Required)When do you hope to start the grant funded project?(Required)Anything additional you would like to tell us? » Please click here to download the project budget form. Upload DocumentsIn the File Upload box below please submit: Completed project budget Organizational budget IRS Tax Exemption Letter Drop files here or Select files Accepted file types: jpg, gif, png, pdf, doc, docx, xls, xlsx, csv, Max. file size: 15 MB.
