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The Mission of the Good Shepherd Community Health Foundation is to enhance the quality of life and general health of residents living in the West Umatilla and Morrow County communities.  Resources are provided to worthy non-profit organizations and projects best illustrating Foundation ideals and fulfilling the health needs of our designated region.

*All fields are required

    Applicant/Organization:

    EIN:

    Physical Address:

    Address:

    City:

    State:

    Zip Code:

    Mailing Address:

    Address:

    City:

    State:

    Zip Code:

    Organization Information:

    Contact Person:

    Title:

    Phone:

    Email:

    Brief description of applicant/organization (origin, purpose, principals, size, length of service):

    Brief explanation of the project:

    Specifically, how will the funds be used?

    Identify the population served with this project by demographics, location, and numbers:

    Numbers served:

    How does this project meet the Foundation's mission to "enhance the quality of life and general health" of residents living in West Umatilla and Morrow County communities?

    Please attach completed project budget or pro-forma outlining anticipated expenses.

    Total Project Cost:
    $

    Foundation Grant Request:
    $

    Other Revenue Required:
    $

    List other specific revenue sources and requested amounts:

    How will the project be funded in the future?

    Beginning and ending dates of the project?

    How will applicant/organization measure the success of the project?

    Good Shepherd Community Health Foundation retains all discretion regarding disbursement of funds, as well as granting, continuation and withdrawal of funding.  Grants are not normally made for building rent, utilities, or employee salaries.  Please attach complete budget for grant project.

    Board of Directors & Staff

    President
    Dean Fialka

    Vice President
    Margaret Saylor

    Secretary/Treasurer
    Amanda Carnine

    Board Members
    Doug Barak, Tyler Bendixsen, Kristen Coller, Arnell Eynon, Manuel Gutierrez, Mike Henderson, Cindy Middleton, Lisa Mittelsdorf, Julie Puzey, LaDonna Quaempts, Dave Rademacher, Mayra Reyes.

    Medical Staff President
    Brian Larsen, MD

    Board Of Trustees Chair
    Jon Lorence

    President & CEO
    Art Mathisen, MHA, FACHE

    Foundation Executive Director
    Liz Marvin

    How to Reach Us

     

    Good Shepherd Community Health Foundation
    610 NW Eleventh Street
    Hermiston, OR 97838

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