2026 Grant application

For organizations that are reapplying for a grant and have received a HFHP grant in the past.

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Organization info

Organization Name

Street Address

City

State

Zip

Program info

Use my Organization Address

Program Site Address (if different)

City

State

Zip

Phone Number

Tax Identification No.

Contact Name

Phone (if different)

Email Address

Grant request

Grant Amount Requested

Please provide a brief answer to the following questions and attach a detailed narrative of the program / project.

1. The specific project(s) to be funded with the requested grant.

2. Specific community need to be addressed.

3. Brief program summary.

4. Who will be providing and administering the services?

5. Where and when will the services be provided?

6. Referring to the zone map, please indicate in number and percentage of the overall program and the overall organization, the participants served by the specific program who live in the geographic service area of Highland Park Hospital. In which Zone do they reside?

View Map

7. How will you evaluate the project to determine if it has met the community need identified? Please be specific. You will need to provide date that demonstrates results for the target population served.

8. Please provide a precise time frame for program.

9. How will the program be funded in the future, if it will continue for more than one year?