Community Health Grants - Healthy Charlotte Alliance

2022 Grant Application Now Open

Deadline to submit proposal: February 15, 2022

Community Health Grant Application & Rules

Grant applications for 2022 funding may be submitted through the application deadline of February 15, 2022.

Application submissions will be reviewed and due diligence conducted by Healthy Charlotte Alliance’s Grants Committee, after which, a slate of finalists will be presented to a group of voting members for final grant selection.

Grant recipients will be notified in April and awards will be made in May at the Alliance’s 2022 annual meeting.

Guidelines – Request for Funds

Healthy Charlotte Alliance will consider only proposals that will promote charitable, scientific, and educational healthcare needs of Mecklenburg County.
Our four priority health issues are mental health, access to care, chronic disease prevention and violence prevention.
The application is open only to non-profit organizations.
Grant requests should be in the range of $10,000-$50,000.
Only applications that directly benefit residents of Mecklenburg County will be considered.

Request Rules

Organizations receiving a grant in 2021 are NOT eligible for a grant in 2022.
Grant applications should include a quantitative way to measure the success of the program and impact on the community.
Grant awards will be unrestricted funds and may be used to meet the nonprofit’s greatest need, clearly stated in the application. However, the applicant agrees to inform Healthy Charlotte Alliance immediately if there is any substantial, material change in the use of funds, with the understanding that the grant funds may be requested to be returned.
The applicant agrees to submit a report on the use of funds and actual outcomes by June 1, 2023.

2022 Grant Application

CONTACT INFORMATION
Date of Application*
MM slash DD slash YYYY
Name of Organization*
Address*
Street Address Address Line 2 City State ZIP Code
Phone number:*
Chief Administrative Officer:*
Name of person submitting this application:*
First Last
Email of person submitting this application:*
Phone of person submitting this application:*
ORGANIZATION INFORMATION
Select the investment priority which your organization most closely seeks to address. (choose only 1)*
- Mental health
- Access to care
- Chronic disease prevention
- Violence prevention
1. History and background of the organization, including how it benefits the health of the community and those you serve.*
2. Please describe the population and geographic area served.*
3. Annual number of Mecklenburg County residents to be served by this organization.*
4. In what specific way will residents of Mecklenburg County be impacted by the work of your organization?*
ADDITIONAL INFORMATION
5. Amount requested from Healthy Charlotte Alliance*
Requested funds should be in the range of $10,000-$50,000.
6. If awarded, please tell us specifically how you will use the funds and how many individuals will be served as a result.*
7. Please list major funders and at what level.*
8. Are there other organizations doing similar work in the community? If so, why is your organization most qualified to address the community need, and in what way do you ensure no duplication of efforts?*
9. Briefly describe your marketing or communications plan to promote this grant award, if funded*
10. Describe opportunities for Healthy Charlotte Alliance members to engage with your organization.*
Please check below to indicate agreement:*
- By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if my organization is accepted as a grant recipient, any false statements, omissions or other misrepresentations made on this application may result in the rescinding of this grant by Healthy Charlotte Alliance.
Signature*
Please sign above with your mouse or finger (if using a touch screen).
Date Signed:*
MM slash DD slash YYYY
FILE UPLOADS
Please include the following in PDF format:
1. Organization’s overall operating budget.
2. A list of your Board of Directors.
3. A copy of your organization’s official notice of tax-exempt status under the Internal Revenue Code.
4. Your organization’s most recent Form 990.
5. Your Operating Support Evaluation Plan. (Please download the Evaluation Plan below and complete. Save as a PDF and upload with your other attachments.)

Please contact Erin Edwards (eedwards@healthycharlottealliance.org) with any questions.
Budget*
Your organization’s overall operating budget.
Accepted file types: pdf, Max. file size: 30 MB.
Board of Directors*
A list of your Board of Directors
Accepted file types: pdf, Max. file size: 30 MB.
Tax Exempt*
A copy of your organization’s official notice of tax-exempt status under the Internal Revenue Code
Accepted file types: pdf, Max. file size: 30 MB.
Form 990*
Your organization’s most recent Form 990
Accepted file types: pdf, Max. file size: 30 MB.
Evaluation Plan*
Please upload your completed Evaluation Plan.
Accepted file types: pdf, Max. file size: 30 MB.
Please download EVALUATION PLAN and complete. Save as a PDF and upload
TROUBLE UPLOADING ATTACHMENTS?
If you have trouble uploading your files, you can email them directly to grants@healthycharlottealliance.org

Save and Continue Later

Previous Grant Recipients

Year	Grantee	Amount	Description
2021	Matthews Free Medical Clinic	52,000.00	To support increased hours for the nurse practitioner on staff and the continued roll-out of the new “Fast Track” program, triaging patient needs.
2021	Teen Health Connection	28,000.00	To hire a second triage staffer and support parenting training classes.
2021	Hospitality House of Charlotte	1,000.00	To support overnight lodging for patients and families in medical crisis.
2021	NC MedAssist	1,000.00	To provide free prescriptions and over-the-counter medications to the poor and uninsured in Mecklenburg County.
2020	Care Ring, Inc	23,333.33	To help empower individuals with limited resources to establish and maintain good health through the Low-Cost Clinic, Physicians Reach Out (PRO) and Nurse Family Partnership.
2020	Mental Health America of Central Carolinas	23,333.33	To support advocacy, education, outreach and evidence-based programs that provide help, offer hope and promote mental wellness to thousands of vulnerable residents.
2020	NC MedAssist	23,333.33	To provide free prescriptions and over-the-counter medications to the poor and uninsured in Mecklenburg County.
2020	Hospitality House of Charlotte	3,000.00	To support overnight lodging for patients and families in medical crisis.
2020	Teen Health Connection	4,000.00	To improve the health of adolescents by providing physical and mental healthcare, education, advocacy and research through connections with teens, parents and the community.
2019	Ada Jenkins Center	5,000.00	To support Community Health Nursing at the AJC Free Clinic.
2019	Carolina Refugee Resettlement Agency	8,000.00	To support the Refugee Health Promotion Project to help individuals and their families to overcome health access and insurance barriers and educate groups on mental health and social service resources.
2019	Charlotte Speech and Hearing Center	10,000.00	To support deeply discounted hearing instruments to those in need on a sliding fee scale based on income.
2019	ChemoCars	7,700.00	To support the elimination of transportation barriers for cancer patients by providing free round-trip rides to treatment using Uber and Lyft.
2019	Hospitality House of Charlotte	3,000.00	To support the overnight lodging program.
2019	NC MedAssist	3,000.00	To support Mecklenburg County Free Pharmacy patients.
2019	Samaritan House	10,000.00	To provide short term recuperative care for homeless men and women following a hospital or emergency room stay.
2019	Shining Hope Farms	1,700.00	To purchase an AED for the Charlotte farm
2019	Teen Health Connection	3,000.00	To fund a national speaker at the 2019 Empower Teen Leadership Summit (formerly known as the Southern States Leadership Conference).
2019	UrbanPromise Charlotte	12,000.00	To support UrbanPromise’s Counseling Program, in which 11th and 12th grade StreetLeaders receive year-round counseling from licensed professional counselors in order to improve their emotional, psychological, and social well-being and build healthy and re
2019	YWCA Central Carolinas	5,600.00	To support a pool lift for the YWCA indoor pool, making the pool more accessible to the elderly and those with disabilities.
2018	Care Ring, Inc	7,500.00	The Physicians Reach Out Program provides free healthcare to patients who lack health insurance and the ability to pay for care. Physicians Reach Out recruits volunteer physicians and other providers to consult with qualifying patients for without charge
2018	Charlotte Community Health Clinic, Inc.	10,000.00	An innovative collaboration with Charlotte Housing Authority will place a nurse practitioner, medical assistant, front desk staff and Licensed Clinical Social Worker directly in the Strawn Apartments located in the heart of South End. Our grant in support
2018	Charlotte Mecklenburg Food Policy Council	3,000.00	Food insecurity is a challenge that faces citizens throughout the county, but especially in areas known as “food deserts.” Our grant for Food Policy Advocacy Training in September 2018 will convene 100 nonprofit and community leaders to address food insec
2018	Charlotte Neuroscience Foundation – Memory Center Charlotte	3,000.00	Memory Center Charlotte is a unique medical clinic providing compassionate patient care for those with Alzheimer’s and related dementias along with support for family members. Our grant supports the Memory Center Scholarship program, which covers the annu
2018	Dilworth Center for Chemical Dependency	5,000.00	Through their Intensive Outpatient Treatment programs for Adolescents, Dilworth Center serves young people and their families facing chemical dependency issues. Our grant funds a Counselor for Adolescent Substance Use Disorder Treatment programs
2018	Families Managing Media	2,000.00	For more than 5 years, this organization has focused on the connection between brain development and electronic media use in children. Our grant supports Kids and Brains Seminars and Solutions Workshops. They are designed to help educate, empower and supp
2018	Hospitality House of Charlotte	3,000.00	Established over 31 years ago, Hospitality House provides lodging for families in medical crisis. Guests are charged $45 per night, which is a partial operational cost. Our grant will fund the guest assistance program for those families who cannot afford
2018	Let Me Run	2,500.00	Founded in 2009 by a Charlotte resident, this is a character building and running program for 4th - 8th grade boys. Over 1600 boys and 300 volunteer coaches participate annually. In addition to running, lessons include expressing emotion, valuing others,
2018	NC MedAssist	10,000.00	In 2017, MedAssist provided free prescription medication to over 3600 Mecklenburg County residents. To improve patient outcomes and better communicate with patients, they created a new position entitled Patient Compliance Advocate. The advocate serves as
2018	The Relatives Inc	10,000.00	NeighborCare was created to provide a safe option for minor children of socially fragile and homeless patients who require inpatient hospitalization and have no safe alternative care for their children. The Relatives serves as the lead agency in this comm
2018	Shelter Health Services, Inc.	10,000.00	Homeless women and children living in the Salvation Army Center for Hope receive free health services through this clinic. Rates of mental illness among people who are homeless and living in shelters is twice the rate found in our general population. Our
2018	Teen Health Connection	3,000.00	For 26 years, Teen Health Connection has been improving the health of adolescents in our community. Our grant supports “The Big Picture,” an engaging and dynamic theatrical production written and performed by adolescents, for adolescents. The multi-media
2017	Autism Society of NC	2,500.00	The Autism Society of NC works to inform and educate the community about issues affecting individuals on the autism spectrum. This grant will provide scholarships to Mecklenburg County residents to attend ASNC's summer camp program at Camp Royall.
2017	Camp Blue Skies Foundation	3,000.00	Camp Blue Skies is one of a few programs that provides an overnight recreational, outdoor experience for adults with developmental disabilities. Funds will underwrite Nurses Care for Camp, which provides extra nursing care at camp sessions.
Year	Grantee	Amount	Description

Year Grantee Amount Description

2021 Matthews Free Medical Clinic 52,000.00 To support increased hours for the nurse practitioner on staff and the continued roll-out of the new “Fast Track” program, triaging patient needs.

2021 Teen Health Connection 28,000.00 To hire a second triage staffer and support parenting training classes.

2021 Hospitality House of Charlotte 1,000.00 To support overnight lodging for patients and families in medical crisis.

2021 NC MedAssist 1,000.00 To provide free prescriptions and over-the-counter medications to the poor and uninsured in Mecklenburg County.

2020 Care Ring, Inc 23,333.33 To help empower individuals with limited resources to establish and maintain good health through the Low-Cost Clinic, Physicians Reach Out (PRO) and Nurse Family Partnership.

2020 Mental Health America of Central Carolinas 23,333.33 To support advocacy, education, outreach and evidence-based programs that provide help, offer hope and promote mental wellness to thousands of vulnerable residents.

2020 NC MedAssist 23,333.33 To provide free prescriptions and over-the-counter medications to the poor and uninsured in Mecklenburg County.

2020 Hospitality House of Charlotte 3,000.00 To support overnight lodging for patients and families in medical crisis.

2020 Teen Health Connection 4,000.00 To improve the health of adolescents by providing physical and mental healthcare, education, advocacy and research through connections with teens, parents and the community.

2019 Ada Jenkins Center 5,000.00 To support Community Health Nursing at the AJC Free Clinic.

2019 Carolina Refugee Resettlement Agency 8,000.00 To support the Refugee Health Promotion Project to help individuals and their families to overcome health access and insurance barriers and educate groups on mental health and social service resources.

2019 Charlotte Speech and Hearing Center 10,000.00 To support deeply discounted hearing instruments to those in need on a sliding fee scale based on income.

2019 ChemoCars 7,700.00 To support the elimination of transportation barriers for cancer patients by providing free round-trip rides to treatment using Uber and Lyft.

2019 Hospitality House of Charlotte 3,000.00 To support the overnight lodging program.

2019 NC MedAssist 3,000.00 To support Mecklenburg County Free Pharmacy patients.

2019 Samaritan House 10,000.00 To provide short term recuperative care for homeless men and women following a hospital or emergency room stay.

2019 Shining Hope Farms 1,700.00 To purchase an AED for the Charlotte farm

2019 Teen Health Connection 3,000.00 To fund a national speaker at the 2019 Empower Teen Leadership Summit (formerly known as the Southern States Leadership Conference).

2019 UrbanPromise Charlotte 12,000.00 To support UrbanPromise’s Counseling Program, in which 11th and 12th grade StreetLeaders receive year-round counseling from licensed professional counselors in order to improve their emotional, psychological, and social well-being and build healthy and re

2019 YWCA Central Carolinas 5,600.00 To support a pool lift for the YWCA indoor pool, making the pool more accessible to the elderly and those with disabilities.

2018 Care Ring, Inc 7,500.00 The Physicians Reach Out Program provides free healthcare to patients who lack health insurance and the ability to pay for care. Physicians Reach Out recruits volunteer physicians and other providers to consult with qualifying patients for without charge

2018 Charlotte Community Health Clinic, Inc. 10,000.00 An innovative collaboration with Charlotte Housing Authority will place a nurse practitioner, medical assistant, front desk staff and Licensed Clinical Social Worker directly in the Strawn Apartments located in the heart of South End. Our grant in support

2018 Charlotte Mecklenburg Food Policy Council 3,000.00 Food insecurity is a challenge that faces citizens throughout the county, but especially in areas known as “food deserts.” Our grant for Food Policy Advocacy Training in September 2018 will convene 100 nonprofit and community leaders to address food insec

2018 Charlotte Neuroscience Foundation – Memory Center Charlotte 3,000.00 Memory Center Charlotte is a unique medical clinic providing compassionate patient care for those with Alzheimer’s and related dementias along with support for family members. Our grant supports the Memory Center Scholarship program, which covers the annu

2018 Dilworth Center for Chemical Dependency 5,000.00 Through their Intensive Outpatient Treatment programs for Adolescents, Dilworth Center serves young people and their families facing chemical dependency issues. Our grant funds a Counselor for Adolescent Substance Use Disorder Treatment programs

2018 Families Managing Media 2,000.00 For more than 5 years, this organization has focused on the connection between brain development and electronic media use in children. Our grant supports Kids and Brains Seminars and Solutions Workshops. They are designed to help educate, empower and supp

2018 Hospitality House of Charlotte 3,000.00 Established over 31 years ago, Hospitality House provides lodging for families in medical crisis. Guests are charged $45 per night, which is a partial operational cost. Our grant will fund the guest assistance program for those families who cannot afford

2018 Let Me Run 2,500.00 Founded in 2009 by a Charlotte resident, this is a character building and running program for 4th - 8th grade boys. Over 1600 boys and 300 volunteer coaches participate annually. In addition to running, lessons include expressing emotion, valuing others,

2018 NC MedAssist 10,000.00 In 2017, MedAssist provided free prescription medication to over 3600 Mecklenburg County residents. To improve patient outcomes and better communicate with patients, they created a new position entitled Patient Compliance Advocate. The advocate serves as

2018 The Relatives Inc 10,000.00 NeighborCare was created to provide a safe option for minor children of socially fragile and homeless patients who require inpatient hospitalization and have no safe alternative care for their children. The Relatives serves as the lead agency in this comm

2018 Shelter Health Services, Inc. 10,000.00 Homeless women and children living in the Salvation Army Center for Hope receive free health services through this clinic. Rates of mental illness among people who are homeless and living in shelters is twice the rate found in our general population. Our

2018 Teen Health Connection 3,000.00 For 26 years, Teen Health Connection has been improving the health of adolescents in our community. Our grant supports “The Big Picture,” an engaging and dynamic theatrical production written and performed by adolescents, for adolescents. The multi-media

2017 Autism Society of NC 2,500.00 The Autism Society of NC works to inform and educate the community about issues affecting individuals on the autism spectrum. This grant will provide scholarships to Mecklenburg County residents to attend ASNC's summer camp program at Camp Royall.

2017 Camp Blue Skies Foundation 3,000.00 Camp Blue Skies is one of a few programs that provides an overnight recreational, outdoor experience for adults with developmental disabilities. Funds will underwrite Nurses Care for Camp, which provides extra nursing care at camp sessions.

Year Grantee Amount Description

2022 Grant Application Now Open

2022 Grant Application

CONTACT INFORMATION

ORGANIZATION INFORMATION

ADDITIONAL INFORMATION

FILE UPLOADS

TROUBLE UPLOADING ATTACHMENTS?

Previous Grant Recipients