PAHF Healthy Community Grant LOI Form SUBMISSION DEADLINE: AUGUST 8, 2025 by 4:30PM (All letters received after this date & time will be reviewed in the January 2026 intake period) Thank you for your interest in the Peace Arch Hospital Foundation Healthy Community Grant Program. Prior to completing the Letter of Intent (LOI), please confirm your eligibility by completing our Eligibility Checklist, and reviewing both the Letter of Intent Prep Guide, and the Grant Guidelines. Upon submission, LOIs will be reviewed using a standardized scoring guide; eligible proposals will be notified and invited to complete a full application to be reviewed by the Healthy Community Grants Committee for funding. For further information or assistance please email amycross@pahfoundation.ca, or call Amy Cross at 604-535-4520.ORGANIZATION INFORMATIONOrganization Name*0 of 120 max charactersAddress* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Date Established*Email* Phone*Website* What is the status of your organization?* Registered Charity Registered Not-for-Profit Non-registered Not-for-Profit For Profit Organization If applicable, please provide your business registration number:Has your organization previously applied for a grant with the Peace Arch Hospital Foundation?* Yes No APPLICANT INFORMATIONName* First Name* Last Name* Relationship to Organization*Email* Phone*PROJECT INFORMATIONBriefly describe your organization's mandate, mission, and vision:*0 of 1505 max charactersBriefly describe your proposed project:*0 of 1925 max charactersRequested amount (total $):*$###,###.## (accounting style with comma and decimal place)What is the approximate requested funding term?* One year Two years Three years Briefly describe your proposed budget requirements:*0 of 1050 max charactersDescribe the community need this project will address:*0 of 1925 max charactersWill this proposed project / initiative take place in the White Rock / South Surrey area?* Yes No ACKNOWLEDGEMENTSTerms & Conditions* I confirm that I have read and understand the terms and conditions outlined in the Grant Guidelines document. Content Accuracy* I confirm the information provided in my Letter of Intent is accurate and complete to the best of my knowledge. Application's Signature*Today's Date (ie 02 03 2022)* Month Day Year CAPTCHA
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