Making a Difference

Application for Blue Light Funds

Please complete application form below by 4:00 pm on on the dates below. 

  • March 1st
  • June 1st
  • December 1st

Applicants will be notified within 3 weeks if they will receive grant.

Please email the following documentation to Premier Health:

  1. IRS letter of determination 501(c)(3)
  2. Names of your organization's board members, terms of office and compensation, if any. 
  3. List of key staff members and your organizational chart.
  4. One example of each of the following (if available):
  5. Annual Report 
  6. Organizational brochure
  7. A balance sheet and income statement covering your organization's most recently completed fiscal year.

Please email all of the documentation to: llshrewsbu@premierhealth.com  


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Executive Director/CEO
Contact for Application

Please select between 1 and 3 below.

Community activities or programs that respond to community needs and seek to achieve objectives including; improving access to health services, enhance public health, advancing increased general knowledge.

Community-building activities improve the community's health and safety by addressing the root causes of health problems, such as poverty, homelessness, environmental hazards, etc. These activities strengthen the community's capacity to promote the health and well-being of its residents by offering the expertise and resources of the health care organization.

Define the target population for your initiative and how it will reach those that are most vulnerable to the health issue you are trying to improve.
What evidence based strategies are being utilized and how will it improve the health of the target population? How will you measure the health improvement?
Identify the collaborating entities associated with this initiative. Please note any financial and/or in-kind contributions to your initiative.
Define your alternative plan if funding is not granted from Premier Health.
Define your time table for your initiative/ program development, implementation and measurement.
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