Building a Healthy Mississippi

Letter of Inquiry Submission Form

Thank you for your interest in working with the Blue Cross & Blue Shield of Mississippi Foundation. The Foundation provides targeted grants for health and wellness projects that typically span a one-year period of time. The initiatives funded by the Foundation have a focus on healthy eating and exercise, with measurable outcomes demonstrating improvement in the health of Mississippians.

To be eligible for a grant from the Blue Cross & Blue Shield of Mississippi Foundation, your organization must:

The first step in applying for a Blue Cross & Blue Shield of Mississippi Foundation grant is to submit a brief Letter of Inquiry. Please type directly into the form below to make your submission. It is important to not copy text from another document and paste it into this form because that can cause errors when you submit your inquiry, including preventing some text from submitting. Once your Letter of Inquiry has been reviewed, you will receive one of the following:

Please provide a response to * Required Fields

Contact Information for Individual Submitting Letter of Inquiry:


Information Regarding Requesting Organization:


Information Regarding Proposed Initiative:


Note: A minimum of 3 measurable goals is required; however, you may indicate a maximum of 5 measurable goals.