McCune-Brooks Healthcare Foundation
P.O. Box 734
2427 Fairlawn Drive
Carthage, MO 64836
Answer all questions briefly. Limit attachments to one page.
Date Application Submitted:
Name and telephone number of person/department requesting
funds and contact person.
Total amount of funds requested from the Foundation. ______________________________
Describe the project, program or equipment for which funds
are being sought, the need that will be addressed, how that need was
determined. (attach one page if more room is needed)
What is the total cost of the project for which your grant
request is sought? What other sources of funding, if any, will be utilized?
When will your project be completed or implemented?
We may request a copy of your 501(c)3 and a list of your
Board of Directors.
The board of directors meets the 3rd Wednesday of every month.
Grant applications will be considered quarterly at the February, May, August and November meetings. Applications are due in our P.O. Box 734 or the office at 2427 Fairlawn Drive, Carthage, MO 64836 on the following schedule:
Due January 31 to be considered at the February meeting
Due April 30 to be considered at the May meeting
Due July 31 to be considered at the August Meeting
Due October 31 to be considered at the November meeting