Livingston County Human Services Collaborative Body: Grant Support Request
The HSCB is a local collaborative body for groups, organizations and agencies involved in the planning and delivery of human services for Livingston County. We believe that collaborative efforts in the planning as well as in the delivery of services and projects help ensure that community members are better served. As part of our role, the HSCB reviews requests for letters of review, recommendation or endorsement of community proposals. This role is to assist agencies and organizations in bringing funds or services into the community. Community proposals are defined as those proposals that come from HSCB member agencies and organizations or those mandated by State Agencies to pass through local collaborative bodies.

Please review Grant Support Request Protocol found here: https://www.livgov.com/hscb/Documents/grantreviewendorsementprotocol.pdf 
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Name of Agency *
Address *
Phone Number *
Email *
Choose One *
Date Letter is Needed *
MM
/
DD
/
YYYY
Who should the required letter be addressed and directed to? *
Please list any specifics, i.e. areas/issues of emphasis, to be included in the letter if applicable.
Identify and briefly describe the project(s) or service(s) that will be provided.  Include information that demonstrates why this is a need. *
Who is the target population? *
Where will the service be located/housed? *
What are the time lines for the project - when will it begin, how long will funding last? *
What is the amount of funding being applied for? Briefly describe what the funding supports.   *
Please describe how the proposed project relates to HSCB efforts (if applicable):
Identify any future HSCB involvement that may be required.
I have read and understand the Grant Support Request Protocol found here: https://www.livgov.com/hscb/Documents/grantreviewendorsementprotocol.pdf *
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