Grantmaking Process

Thank you for your interest in working with the Blue Cross & Blue Shield of Mississippi Foundation. All applicants must initiate the process of applying for a grant by submitting a brief Letter of Inquiry. Please complete the Letter of Inquiry questions in the space provided below. A foundation representative will contact you immediately to confirm that your electronic submission has been received. Within six weeks, you then will receive one of the following:

A request for more information
A request for a full grant application
A letter informing you that the Foundation cannot fund your project

1) Briefly describe the issue the project seeks to address:

2) Into which of the Foundation's Areas of Interest does your project fit? Children's Health and Wellness Community Health Initiatives Promotion of Healthy Lifestyles and Choices
3) How do you define success for the program, and how will you measure it?

4) Provide information about key personnel who will lead the project, and about their qualifications:

5) Provide an estimate of the program’s total budget and the amount of financial support you seek from the Blue Cross & Blue Shield of Mississippi Foundation:

6) Explain how funding from the Foundation will help achieve the goals of the project:

7) Explain how the project could be easily replicated to serve as a model for other communities in the state:
Your Contact Information:	Please complete all items.

8) Your name:	11) Your mailing address:

9) Your email:	12) Your apt or suite (if required for delivery):

10) Your phone:	13) Your city:

	14) Your state:
	I am legal resident of the State of Mississippi.
	15) Your zip code:

Alternatively, you may submit a Letter of Inquiry by mail. To do so, complete a letter - not to exceed three pages - which includes the information requested in the above form, and mail it to:

Blue Cross & Blue Shield of Mississippi Foundation
ATTN: Wade H. Overstreet
P.O. Box 1043
Jackson, MS 39215-1043

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