Home / Mary Free Bed Guild External Grant Form

Application Information

Mary Free Bed Guild Fund Mission:

The Mary Free Bed Guild Fund supports the charitable, scientific, and educational purposes and missions of the Mary Free Bed Guild and its subsidiaries. The Mary Free Bed Guild Fund also supports community organizations and activities whose focus is on the education, recreation, health, and well-being of the disabled population in western Michigan.

Mary Free Bed Guild Mission:

Restoring hope and freedom by continuing the traditions of benevolence and compassion through governance of the hospital and support of community and hospital programs.

Amount and Duration of Grants:

Grants between $1,500 – $20,000 will be considered. A limited number of projects/programs may be considered for larger grants. Renewal requests will be considered.

Grant Request Guidelines:

Consideration is given to requests that fulfill the following:

Involved people with disabilities
Demonstrate a direct relationship with the Guild Fund Mission Statement
Serve those in West Michigan
Are collaborative, innovative, or have the potential for being ongoing.
Grant proposals which include funding from other sources are strongly encouraged.

If your request is part of a capital campaign for a larger project/program, please be specific as to how this request aligns with the Mary Free Bed Guild mission and the portion of the project/program you would like the Mary Free Bed Guild Fund to support, and the costs associated. In addition, please note what type of recognition would be available.

Evaluation of Requests

Each request receives careful attention. When questions arise, the applicant may be contacted for further information.
The Guild Fund Board meets on the third Tuesday of September, November, January, March, and May.
Requests and ALL required documentation must be received by the first business day of the meeting month.
Requests received after the first business day of the meeting month will be considered at the next scheduled meeting.
You will receive notice of the status of your request within thirty (30) days of the Guild Fund Board meeting.

Required documents (for all new and renewal applications):

Applications missing any of the below required documentation will be returned.

1. Current and past year project/program budget or organizational operational budget.
  - Please provide separate columns for current and past year budgets.
  - Please explain any line items that show significant change between the two years.
2. An accounting of the most recent year’s activities including:
  - Balance sheet and income statement
  - Donor breakdown (include all major donors and amounts donated last year)
  - Expense breakdown
3. Any Additional information about your programs or financial situation that would help clarify items in the request.
4. Tax exempt letter or evidence of your tax-exempt status
5. W-9 Documentation

Mary Free Bed Guild Fund External Grant Request Form

Date(Required)

1. Title of Project/Program(Required)

Request Type(Required)

Amount requested(Required)

Will this be an annual request?(Required)

If approved, please indicate when you will need to receive the funds(Required)

Will you be requesting any other funding for events, projects, or programs from the Guild Fund in this calendar year?(Required)

*If yes, please explain...

2. Applicant Information(Required)

First Last

Email(Required)

Phone(Required)

Organization:(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tax Exempt Status(Required)

Tax ID Number if applicable:

3. Budget/Financial Required Documentation (please attach):(Required)

Drop files here or

Max. file size: 50 MB, Max. files: 10.

**Applications missing any of the below required documentation will be returned: Current and past year budget for the requested project/program Please include a detailed expense breakdown as it relates to your project/program. Please explain any line items that show significant change between the two years. *If this is a new project/program no past year budget information is required. An accounting of your organizations most recent operational budget as it relates to this project/program. *Other financial information may be requested as needed Any additional information about your programs or financials that would help to clarify items in the request. Tax exempt letter or evidence of your tax-exempt status. W-9 Documentation.

4. Briefly describe your organization and its goals and how this aligns with Mary Free Bed Guild Mission:(Required)

5. Provide a detailed description of your project/program and the need it addresses:(Required)

6. Start Date (Please provide the following information regarding your project/program) :(Required)

End Date(Required)

Specific Geogrpahical area to be served:(Required)

Please identify which disabled population(s) and associated percentages your project/program will serve:(Required)

Identify the number of people served:(Required)

Ages of people served:(Required)

Percentage of people served under the age of 18:(Required)

7. Upload or type response: How will the project/program be implemented? (Include a timeline for the work)

Max. file size: 50 MB.

Upload a document stating how the project/program will be implemented and include a timeline for the work

Typed Response: How will the project/program be implemented? (Include a timeline for the work)

8. Upload or type response: How will the project/program be evaluated for its effectiveness, and the results be measured?

Max. file size: 50 MB.

Upload a document stating how the project/program will be evaluated for its effectiveness, and how the results will be measured.

Typed Response: How will the project/program be evaluated for its effectiveness, and the results be measured?

9. List the names and qualifications of the individuals that will implement the project/program:(Required)

10. What is your plan to secure continued support for this project/program?(Required)

11. Are you aware of other organizations offering a similar program?(Required)

If yes, what are they?

12. Is your project/program sustainable without funding or with partial funding from the MFB Guild Fund?(Required)

** If no, please explain:

13. List any other sources of funding you are pursuing:(Required)

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