Grant Instructions and Application

When submitting your Grant Application for the  Community Health Initiative please follow these instructions, and review the list below carefully:

Read the Focus of Grants (previous page), and sign acknowledgement form provided below which confirms your understanding that receipt of this application does not imply eligibility or approval and that all  the information contained in the application is current and accurate to the best of your knowledge.

Applications will be accepted starting May 15th 2018. All applications must be submitted by  5pm on June 15, 2018,  to the Community Foundation for Nantucket.  We prefer that applications come to us by email,  if mailing, must be postmarked by June 13, 2018. All applications should be sent to Jeanne Miller,

Keep a copy of your submission for your files.

Please do not include videos, promotional materials or any additional information other than what is requested on this form.  An interview will be conducted by a representative of Healthy Nantucket 2020  and at that time the video or other materials can be presented.

Submit one (1) copy of the following in this order:

  • Completed 2018  Grant Application: Grant Application – PDF  or  Grant Application – WORD
  • Copy of the letter from the IRS stating your tax status i.e. 501c3 or other.
  • Copy of your most recent Form 990 (if applicable) and complete financial statements in accordance with Commonwealth of Massachusetts requirements.
  • If applying with a fiscal sponsor, please include a copy of a letter signed by the head of the organization acting as fiscal sponsor accepting responsibility for any funds received. Also include a copy of the minutes from the fiscal sponsor’s Board meeting where the relationship was approved.
  • Applications from for-profit businesses or organizations that meet all the eligibility criteria will be considered, but most also be pre-authorized by the Department of Public Health to receive funding. Working with the applicant, NCH and CFN would request authorization from the DPH.

If at any time you have difficulty with this application, please contact Jeanne Miller at 508-825-9993 at the Community Foundation for Nantucket.

Community Health Initiative Grant Application – Word
Community Health Initiative Grant Application – PDF