Healthy Charlotte Alliance Pediatrician
Healthy Charlotte Alliance dental care
Healthy Charlotte Alliance child tutoring
Healthy Charlotte Alliance helps cancer patient

If you are applying for Operating Support, please download and complete the Operating Support EVALUATION PLAN.  Save this document as a PDF and upload with your other attachments.

  • CONTACT INFORMATION

  • MM slash DD slash YYYY
  • ORGANIZATION INFORMATION

  • ADDITIONAL INFORMATION

  • Requested funds should be in the range of $10,000-$25,000.
  • Please sign above with your mouse or finger (if using a touch screen).
  • 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. A brochure or printed material about your organization.
    6. 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.

  • Your organization’s overall operating budget.
    Accepted file types: pdf, Max. file size: 30 MB.
  • A list of your Board of Directors
    Accepted file types: pdf, Max. file size: 30 MB.
  • 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.
  • Your organization’s most recent Form 990
    Accepted file types: pdf, Max. file size: 30 MB.
  • A brochure or printed descriptive material about your organization
    Accepted file types: pdf, Max. file size: 30 MB.
  • 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