Blue Light Funds Application

Please complete application form below by 4 p.m. on the dates below: 

  • March 8
  • May 3
  • September 6
  • November 15

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

Please email the following documentation to Premier Health:

  • IRS letter of determination 501(c)(3)
  • Names of your organization's board members, terms of office and compensation, if any. 
  • List of key staff members and your organizational chart.
  • One example of each of the following (if available):
  • Annual report 
  • Organizational brochure
  • 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