Request History Previous Funding Requests - All Locations How many Walmart/Sam's Club/Logistics facilities have you applied to for funding this fiscal year? Note: Walmart's fiscal year begins February 1 and ends January 31. N/A 1-5 6-10 11-20 More than 20 - If you are submitting before 12/31/16, select this one. After December 31, 2016, please email Erin Kerr at to see which one should be selected. Previous Funding All locations – How many Club/Logistics facilities have you received funding from this fiscal Walmart/Sam’s fiscal year begins February 1 and ends January 31. year? Note: Walmart’s N/A 1-5 6-10 11-20 If you are submitting before 12/31/16, select this one. After December 31, 2016, – please email Erin Kerr at to see which one should be selected. More than 20 Previous Funding This Location - Has your organization received previous funding from the – facility to which you are applying? Blessings internal note answer this question based on your – program site. SELECT YES OR NO Primary Focus Category Select HUNGER RELIEF AND HEALTHY LIVING – Primary Subcategory Select MEAL DISTRIBUTION – Category - If you are applying for funding from a Sam's Club facility, Sam’s Club Additional please choose all that apply. Please note: some answers may duplicate previously selected focus category/subcategory.SELECT HEALTH AND WELLNESS – Area Served - Enter the county or counties served by proposed program one at a time and click the "Add to List" button after each entry. If the organization serves all counties in a state then simply enter "All counties". People Served - Enter the projected number of unduplicated individuals served as a result of this funding request. An individual who receives more than one service should only be counted once for this question. Gender - Enter the number of people in each gender type that the organization plans to serve as a result of this funding request. The total must equal the number entered in the People Served field above. Male Female – Unknown/unreported ENTER YOUR NUMBER OF PARTICIPANTS HERE –
Request History Previous Funding Requests - All Locations How many Walmart/Sam's Club/Logistics facilities have you applied to for funding this fiscal year? Note: Walmart's fiscal year begins February 1 and ends January 31. N/A 1-5 6-10 11-20 More than 20 - If you are submitting before 12/31/16, select this one. After December 31, 2016, please email Erin Kerr at to see which one should be selected. Previous Funding – All locations How many Walmart/Sam’s Club/Logistics facilities have you received funding from this fiscal year? Note: Walmart’s fiscal year begins February 1 and ends January 31. N/A 1-5 6-10 11-20 – If you are submitting before 12/31/16, select this one. After December 31, 2016, please email Erin Kerr at to see which one should be selected. More than 20 Previous Funding – This Location - Has your organization received previous funding from the facility to which you are applying? Blessings internal note – answer this question based on your program site. SELECT YES OR NO Primary Focus Category – Select HUNGER RELIEF AND HEALTHY LIVING Primary Subcategory – Select MEAL DISTRIBUTION Sam’s Club Additional Category - If you are applying for funding from a Sam's Club facility, please choose all that apply. Please note: some answers may duplicate previously selected focus category/subcategory.SELECT – HEALTH AND WELLNESS Area Served - Enter the county or counties served by proposed program one at a time and click the "Add to List" button after each entry. If the organization serves all counties in a state then simply enter "All counties". People Served - Enter the projected number of unduplicated individuals served as a result of this funding request. An individual who receives more than one service should only be counted once for this question. Gender - Enter the number of people in each gender type that the organization plans to serve as a result of this funding request. The total must equal the number entered in the People Served field above. Male Female – Unknown/unreported – ENTER YOUR NUMBER OF PARTICIPANTS HERE
Walmart-Community-Grant-Application-Template-103116.docx