Request for Special Funding Application

Thank you for your interest in the Harold and Edna Bragg Healthcare Education Scholarship Fund, which is administered by the Lake Chelan Health & Wellness Foundation.

Special Funding is a request for funding not available anywhere else but will help to bring an item or program to a group or individual. We have been privileged in the past to help with funding for the Audiometer for Manson School District, Gift Certificates for kids in the EMS program – “I Caught You” which catches kids wearing their bike helmets while out riding their bikes, Senior Center Yoga classes and our Community Nurse program

Request for Special Funding Application

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Organization Name*

Date:*

Applicant Name/Title*

First Last

If awarded funds, when will these funds be disbursed for implementation of program/service?*

Phone*

Email*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Is your organization governed by a board that receives taxpayer support? (Hospital District, City Council, etc.)*

Yes

No

Yes, we are governed by:*

Description of Program/Item for which funding is requested:*

Total Amount Requested:*

Description of how this funding promotes health in our district. Include one measurable objective and expected outcome:

Are you available for a personal interview?*

Yes

No

CONTACT

(509) 682-6125
P.O. Box 1911
Chelan, WA 98816

foundation@LCHealthWellness.com

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Our Mission

The mission of the Lake Chelan Health and Wellness Foundation is to enhance healthcare in the Lake Chelan Valley by funding medical equipment, supporting healthcare education, and advancing wellness programs that improve community well-being.

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