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Complete the form below to apply for funding

After you submit an application, if there is additional information you would like to share, please email all attachments to caringfoundation@bcbsnd.com.

*Indicates Required Fields

PROPOSAL INFORMATION

BUDGET

GRANT PROPOSAL NARRATIVE

Please provide the following information in the order presented below.

PROJECT DESCRIPTION

Describe your proposed project. Include (i) the purpose and goals of your project, and the capacity to carry out the project; (ii) the statement of need for your project; (iii) the population served by the project, and the location of those individuals; and (iv) the way in which you will measure the success of your project.

PROJECT PLAN

Describe the evaluation process for your project, including expected outcomes. Outline (i) the evaluation process, (ii) the individuals responsible for measuring and reporting the outcome of the project, and (iii) a description of how the project will be funded and sustained in future years.

North Dakota Counties Served (check all that apply)*

DISCLAIMER CONTENT 
By submitting this application, you certify that the information provided in this grant application is accurate and complete to the best of your ability and knowledge. You further acknowledge that is awarded a grant from BCBSND Caring Foundation, you will provide grant project pictures, two evaluation reports and one certification to BCBSND Caring Foundation that the funds have been used for the purposes stated and within the time specified in the grant application.