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Wellness Grant Application

  1. Directions:

    Complete all required fields below providing as much information as possible. 

    Applications will be reviewed on a monthly basis. Successful recipients will be notified via email. 

    Please note that completion of the application DOES NOT guarantee that your project/initiative will be approved for funding. Approval is dependent upon the availability of funds and the potential impact of your project/initiative compared to other submissions. 

  2. ($200 maximum request)

  3. Dimension(s) of Wellness Addressed:*

    Check all that apply:

  4. Leave This Blank:

  5. This field is not part of the form submission.