Pathways Letter of Intent

If your coalition is interested in completing an application, please fill out and submit this form as a Letter of Intent to apply by 4 p.m. (CDT), Friday, August 21. You must submit a letter of intent to receive an application packet. The application link will only be sent to organizations that submit a letter of intent by the deadline.

Coalition information

Coalition name

Coalition contact name

Coalition contact email address

Coalition contact phone number

Date coalition formed

Does the coalition have current written documentation detailing its purpose and decision making processes?

You will be asked to submit documentation such as bylaws, mission/vision/values, and fiscal oversight at the time of the application process.

Brief description of coalition

Is this coalition currently funded, previously funded or new to the Pathways initiative?

Is this coalition registered on Elevate Kansas?

Check Elevate Kansas for registration (opens in new window).

Most recent meeting

Next most recent meeting

3rd most recent meeting

4th most recent meeting

Organization applying (fiscal agent)

Name of organization applying

Organization contact name

Organization contact email address

Organization contact phone number

Address

Address 2

City/Town

State

ZIP Code

Brief description of organization

Community to be served

Name of community to be served

Approximate population of community

Paragraph on why the coalition wants to apply for this grant

Site visit

Coalitions will be selected for a site visit based on strength of application. All visits will be scheduled between November 2-20. Please select the three options that work best for your coalition and partners and we will do our best to accommodate those times when scheduling visits.

Preferred site visit time

Second site visit preference

Third site visit preference