2015 Funding Application





2015 Funding

System Development



Mental Health

Contact Us



    TO:                 Applicants for Funding


    FROM:           Jennifer Roth, Executive Director

                            Madison County Mental Health Board


    DATE:           July 1, 2014


    RE:                 Funding Application Materials for FY 2015


    In the links below you will find the materials needed to complete the FY 2015 application for funding from the Madison County Mental Health Board.  A grant-funded system will be utilized for most services with more programs being switched to a fee for service system during the next year. 


    Be sure to identify a profile of individuals benefitting from local funding and clearly name service outcomes.  If available, include any local statistics/data pertinent to the needs of the populations you are serving. Attach any supplemental materials you wish;


    Thoroughly complete all forms;


    On the Service Plan, be as descriptive as possible;


    Please include one total copy of your Form 990;


    Materials in this package cannot be saved online.  Save the files to your computer.  Due to the formatting and technical issues the past several years, we have returned to using Excel and Word documents.  


    We want to make the application process as smooth as possible for everyone.  If you find it necessary to make some additions/minor adjustments to the documents, such as adding lines to the financial forms that is acceptable.  We ask that you not completely reformat the documents or make any extreme content changes.


    The Board cannot assure that all requests will be funded.  The Board will be reviewing its funding priorities to ensure core services can be continued.


    Applications are due by 12:00 p.m. on Thursday, July 31, 2014.  Kindly return ten (10) completed copies of your application to the Board office.  Each of the ten copies should include a cover letter and all application forms for Board and Staff review.  Feel free to call the office with any questions at 296-4358.


    Thank you.

   2015 Funding Forms:

Home/a> | About Us | Funded Agencies | Forms  | System Development Requests  
Resource Directory  | Calendar  | Mental Health Links | Contact Us