With this submission, the organization affirms that the facts set forth in this application are true and complete. Any false statements, omissions, or other misrepresentations on this application may result in funding refusal. See Mini-Grant Program Guidelines at adamhfranklin.org/mini-grants. Application materials are due the first Wednesday of each month and your program must occur at least 60 days after the application deadline. Application materials should be submitted to mini-grants@adamhfranklin.org. Please refer to Mini-Grant Program Guidelines when completing application.

 

Application Checklist 

Incomplete packets will not be reviewed. 
In order to be considered for a mini-grant, an applicant must provide the following documentation: 

• Application 
• Support letter from any partner identified in the application, if applicable. 
• IRS form W-9 (Request for Taxpayer Identification Number and Certification) 
• IRS letter of determination 
• Submit this application prior to 5 p.m. on the first Wednesday of the month. 

Identify and outline the expenses for which that funding will cover, such as space costs or rentals, speaker’s fees/honorariums, program materials and supplies, marketing, or other program items. Staff office space and capital improvements are not covered. Please see the ADAMH Mini-Grant Program Guidelines for a complete list of expenses that cannot be reimbursed with ADAMH Mini-Grant funds.

Feel free to use this budget template as a guide. You can upload completed budget documentation below, or add your budget information to the text box field.

All recipients of mini-grant funding must complete these minimum requirements:

• Add an ADAMH logo and link on the program/event section of your organization’s website 
• Include ADAMH logo on all printed materials specific to the program/event activities these funds will support 
• Mention and tag ADAMH on social media 

ADAMH will identify additional activities from the list below for applicants who receive $2,000 or more.

$2,000-$2,999

• Invite ADAMH staff to the program 
• Provide a booth for ADAMH to use at your event

$3,000-$3,999

Everything listed in above category, plus:

• Allow ADAMH to distribute promotional material to program participants 
• Include an ADAMH article in your organization's newsletter 

$4,000-$5,000

Everything listed in above categories, plus:

• Include the ADAMH logo in all advertising 
• List ADAMH as a sponsor on all media releases