Grant Application

To download an application, select one of the following:

Healthy Communities Grant
Healthy Communities GrantĀ Application 2011

Immediate Response Grant
Immediate Response Grant Application 2012

For more information about our grant programs, or to obtain an application, please call the Foundation office at
217-285-6080 or email

Grant applications may be submitted to:
Patricia McIntosh, Executive Director
Health and Wellness Foundation of Pike County
112 West Washington PO Box 81
Pittsfield, IL 62363