Community involvement has positive impact

Blue Cross Blue Shield of North Dakota (BCBSND) and the BCBSND Caring Foundation work collaboratively to support community-driven programs and initiatives that improve health across North Dakota. Together, we invest in efforts that address critical health needs and strengthen the communities where North Dakotans live, work and play.

Eligibility

  • Must be a North Dakota-based organization or serve North Dakotans
  • Be a 501(c)(3) nonprofit, municipal entity or school system
  • Support our mission and align with our funding priority areas

Restrictions

We don’t fund:

  • Individuals
  • General operating expenses
  • Religious organizations for religious purposes
  • Political purposes or lobbying activities
  • Full-time or part-time employee positions
  • Capital campaigns or endowments

To apply

Please fill out and submit this form. After you apply, if there is additional information you would like to share, please email all attachments to caringfoundation@bcbsnd.com. We will notify you within six weeks of submission if your request has been approved.

Organization Information

*Required fields

Applicant Information

*Required fields

Event Information

*Required fields

Program or Mission Work Information

*Required fields

Counties Impacted

*Required fields

North Dakota County Map

Attendee Reach

Geographic reach of your funding request

Review and Submit

Start

What is the funding request for? : Edit

Organization Information

Name of Organization : Edit
Employer Identification Number (EIN) : Edit
Employer Identification Number (EIN) (Optional) : Edit
Mailing Address : Edit
City : Edit
State : Edit
ZIP Code : Edit

Applicant Information

First Name : Edit
Last Name : Edit
Job Title : Edit
Email : Edit
Phone : Edit

Event Information

Organization's Mission : Edit
What event will the funding support? : Edit
Dollar Amount Requested : Edit
Event Date(s) : Edit
Tell us about your event : Edit
What visibility does this sponsorship provide? : Edit
What is the estimated number of people attending? : Edit

Program or Mission Work Information

In 3-5 sentences, describe how the requested funds will be used. : Edit
Describe your proposed program or mission work, including the project's purpose and goals, the need it addresses and expected outcomes. : Edit
Key Program Dates : Edit
What is the total cost of the program or mission work, excluding general operating expense and staff salary? : Edit
List other partners on this project : Edit
List other additional sources of funding for this program or mission work and include the status of these funding requests : Edit
What is the estimated number of people impacted? : Edit
Which of the following describes the individuals the program will serve : Edit
Specify Other Ethnicity or Race : Edit
Ages Served : Edit
What category best describes the area of impact of your funding request? : Edit

Counties Impacted

Are attendees coming from all parts of the state? : Edit
East Central Counties : Edit
Southeast Counties : Edit
South Central Counties : Edit
Southwest Counties : Edit
Northeast Central Counties : Edit
Northeast Counties : Edit
North Central Counties : Edit
Northwest Counties : Edit

Sign

By submitting this application, you certify that the information provided in this funding application is accurate and complete to the best of your ability and knowledge. You further acknowledge that if awarded funds from BCBSND, you may be asked to share project pictures and an evaluation report that the funds have been used for the purposes stated and within the time specified in this application.

Print this Page
Print this page for your records before submitting the application.