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HEALING ILLINOIS APPLICATION

Instructions

All applicants are required to have or create an account to complete and submit your application.  Keep your user name and password handy so that you can "save a draft" and return to complete your submission.  Also this user name and password will continue to be used for agency reporting and future applications.

  • LOGIN HERE (If you already have a user name and password)
  • CREATE AN ACCOUNT (New users only - an email will be sent to you)
  • RESET YOUR PASSWORD (if your email has been used previously, you can reset your password)
  • LOGOUT (Be sure to log out once you have saved your draft or submitted your application)

Incomplete applications will not be accepted.  Do not leave any blanks; enter N/A if not applicable.
 

Applications are due by January 15, 2021

 

 
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PART I - Agency Information

Primary Contact's Information

CEO's Information

Program Information

 

Explain in detail how a grant from Healing Illinois will allow you to:

• Promote Dialogue: conversations to build understanding and empathy and/or
• Encourage Collaboration: activities that bring people together in person or virtually to connect and to act together on a project or idea and/or
• Facilitate Learning: activities designed to build or enhance knowledge and/or
• Seed Connections: racial healing circles, peace circles, or restorative justice activities and/or

Program Information-Explain in detail how the funding will:
Explain in detail how the program will • Promote Dialogue: conversations to build understanding and empathy and/or • Encourage Collaboration: activities that bring people together in person or virtually to connect and to act together on a project or idea and/or • Facilitate Learning: activities designed to build or enhance knowledge and/or • Seed Connections: racial healing circles, peace circles, or restorative justice activities and/or Need or Issue Statement – (Describe the need or issue the program addresses.) Please address the following as applicable: Clearly define the community need for the program Clearly define the community’s benefit from the program Submit data (if available) to support the need / benefits identified Show any evidence of community support for the program
List initial, intermediate and long term desired outcomes
List what information will be collected initially, during and at the end of the program.
Provide any previously measured outcomes for this program and explain their results.
Upload a Spreadsheet of your budget
Files must be less than 2 MB.
Allowed file types: xls xlsx.
Yes or No
Explain in detail how funding from Healing Illinois will help maintain, expand, or improve the program - or if it is new
Tell us how this Initiative will allow you to Collaborate with others.

Collaborative Partners

Explain in detail how funding from United Way will help maintain, expand, or improve services for the people who are currently receiving services from you.
If you only receive a portion of the requested funds, will you be able to facilitate your program?