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Application for Funding

As a health care organization, and as a large employer in Kansas City, GEHA makes a serious commitment to lifting up the communities we serve. We work to make thoughtful choices in our charitable giving and employee volunteer activities. The GEHA Corporate Social Responsibility program focuses on health and social service causes that align with GEHA values. GEHA funding requests will be considered for non-profit 501c3 organizations that support these causes.

All fields are required unless marked as optional.

First Name

Last Name

Email address

Phone number

Title (Position)

Organization Name

Is your organization a 501c3?

Yes

What’s your Tax ID Number and organization website? (optional)

What’s the mission of your organization?

Briefly describe the activity or project for which you are requesting funds? Include date and location.

Amount of funding you are requesting from GEHA or a list of sponsorship opportunities for consideration.

Describe how funds will be used. List community needs or problems to be addressed and the number of individuals and geographic area that will benefit from this funding.

How are GEHA employees connected to your cause? (Board service, volunteers, etc.)

How does your nonprofit’s mission and programs align with GEHA’s giving strategy: focusing on strategic partnerships/programs addressing social determinants to improve the quality of health and well-being of individuals in the community?

Are there any potential non-monetary support opportunities associated with this request? (Volunteers, in-kind donations, etc.)