Mini Grant Application - $2500 or less

Mini-Grant Application: $2500 or less

Thank you for your interest in the Partners for Healthy Kids Grant. Please complete all sections. Any additional supporting documentation, supplements, etc. can be uploaded at the end of the application. Please contact Annie McDaniels at annemarie.mcdaniels@wayzataschools.org with any questions.
- Organization
- Contact Person
  
  First NameLast Name
- Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Project Title
- Is this a Wayzata Public Schools grant application?
- Number of Years the Program/Project Has Been in Operation
- Amount Requested
  If the amount requested is more than $2,500, please use the 2026-2027 PHK LCTS Grant application that aligns with amount requested.
- Will this serve Wayzata School District Students and/or Families?
- Total number of Wayzata Students served considering only the PHK funds requested.
  The number of Wayzata students in this field is the number served by only the funds requested.
- Project Start Date
  
  MonthDayYear
- Project End Date
  
  MonthDayYear
- In 2–4 sentences, briefly describe your project, including who will be served, what services or activities will be provided, how the project will be implemented and goals/outcomes expected.
  All funded projects MUST capture measurable data. Please specify which scales/tools are used to evaluate and measure outcomes and goals.
- The Minnesota Department of Human Services has established the three statewide collaborative priorities listed below. Please select the one that best fits your program.
- In addition to statewide priorities, Partners for Healthy Kids has developed local priorities with our mission of working "to improve the social, emotional, educational, and economic outcomes of children and families in our community." Please select which of our current priorities best fits your program.
- Does your program provide any of the following? (Check all that apply)
- Who do you plan to serve? (select all that apply)
- What are the criteria for service? (select all that apply)
- Other Criteria for Services
- What data sources are used to assess local needs or priorities? Please check all that apply.
- Other Data Sources
- Which organization(s) do you partner with in order to fulfill these needs and goals? How do you collaborate with them?
  Collaboration can be financially, in-kind or both.
- A budget breakdown must be submitted for the grant to be considered.
  
  Please use the PHK Budget Form if you do not have your own form to submit.
- Upload the completed Budget Form outlining the total budget for the program.
  
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- Please explain how the budgeted funds will be used to implement this project/programming, including other funding sources accessed (source of funding and amount) applied to this project:
  If additional documentation is needed - e.g. invoices for supplies, spreadsheets, etc. - those can be uploaded at the end of the application.
- Do you have a minimum of $1 million liability insurance coverage?
- Please share additional comments or considerations you would like us to know that weren't already addressed on the application.
- Upload Supporting Documentation Here
  
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- Should be Empty:

Mini-Grant Application: $2500 or less