FMC Foundation External Funding Request Guidelines

Funding requests must address community health care needs, adhere to the core mission of the hospital, or reflect projects that are deemed to be in the best interest of the hospital. Applicants must be a non-profit organization under 501(c) 3 of the Internal Revenue Code.*

Priority will be given programs within FMC’s primary service area, as defined by the FMC Board of Directors. The Foundation Committee typically does not entertain requests for multi-year support.

Proposals from entities external to FMC must include answers to the following questions:

  1. What specific amount are you requesting? Funding is to be used within 12 months of award date.
  2. What is the specific program for which the funds are being requested?
  3. Who will the program serve and how many individuals do you expect to benefit?
  4. How will the program provide measurable improvement?
  5. Are other agencies supporting this project?  Include explanation.
  6. How is the program consistent with FMC’s mission?
  7. What marketing efforts will be utilized in support of the program?
  8. What is the overall budget for this project and how will the funds be used?
  9. Identify any previous funding this program has received from the FMC Foundation.
  10. What are the plans for phasing out FMC funding (if relevant)?

Note: The Foundation Committee meets 6 times per year to review proposals. Please plan accordingly, allowing up to 60 days to receive feedback on the outcome of your request.

When the program concludes, a final report must be submitted to the FMC Foundation including:

  1. Program summary with number of individuals served
  2. Evaluation of program’s effectiveness and feedback from participants
  3. A high-resolution, digital photo with permission to use in promotional efforts as needed (digital photo may be emailed to Natalie.Harlan@nahealth.com)
  4. Other pertinent information regarding the program’s success

Submit your proposal to:
FMC Foundation
1200 N. Beaver St.  Attn: Natalie Harlan
Flagstaff, AZ 86001  or Fax to: (928) 773-2549

Questions may be directed to Natalie Harlan at: Natalie.Harlan@nahealth.com, (928)773-2158.

* Non - 501(c) 3 entities will be considered on a case-by-case basis.



EMAIL THIS PAGE TO A FRIEND

RETURN TO FUNDING REQUEST GUIDELINES