To apply for discretionary funds allocated through Local Collaborative Time Study (LCTS) dollars, please complete the application below. Your submission will be sent directly to the PACT for Families Collaborative office for review. Members who have met their financial commitment to the Collaborative may apply for these grant dollars.

Application Instructions:

* NOTE: This form does not save your progress. Please plan to complete it in one sitting.

• Please complete the application in full.  Incomplete applications may be deferred to the next review period.

• Any materials/programs purchased belong to the Collaborative and will be included in our inventory list and will be available to be borrowed by other Collaborative members when not in use.

• Award recipients are expected to participate in evaluation activities and present program outcomes at a PACT Full Collaborative meeting. A grant report is required within four weeks of completion of your proposed project.

• Maximum dollar amount per request = $5,000*

• Before applying for Discretionary Dollars, applicants must confirm that no other funding sources are available.

• Applications must be submitted by the 15^th of February, May, August, or November to be considered for funding in the upcoming quarter. 

1. Please check which of the following PACT for Families Collaborative Goals apply most to your proposal:

2. Briefly describe your organization’s work with children and/or mental health, as well as your current involvement with PACT for Families Collaborative (e.g., participation in committees, joint projects, or other initiatives). (2000 Character Limit)

3. Identified Community Need- What specific need, gap, or challenge does this project seek to address?  (Please describe any relevant data, community input, or observations that support this need).  (2000 Character Limit)

4. How does this project offer a new or innovative approach to early intervention or prevention?

Please describe how your project addresses the identified need in a creative or unique way, and how it is designed to reduce risk factors that may lead to out-of-home placement or deeper system involvement. (2000 Character Limit) 

5. Who is the primary population you intend to reach with this proposal, and how will parents or caregivers be included as part of the project? Please provide a brief description (e.g., age, location, demographics, specific needs) and describe how you will engage or support parents/caregivers in the proposed activities.  (2000 Character Limit)

6. Number of Individuals Impacted:

Children (Birth to 6):

Parents/Caregivers:

Youth (Grade 7 and up):

Other Adults

7. What activities or strategies will you organize or implement to achieve your intended outcomes?Please describe the planned activities and strategies, explain how they build on existing programs, partnerships, or community strengths, and include a timeline or key milestones if applicable (2000 Character Limit)

8. How will you track progress and evaluate your outcomes?  Please describe how you will monitor project activities and measure success using SMART indicators and evaluation tools. (2000 Character Limit) 

9. Please provide a summary of how the requested funds will be used in a cost-effective and purposeful way (e.g., staffing, materials, transportation). If applicable, describe any additional funding sources or in-kind contributions that will support this project and enhance its overall impact. (2000 Character Limit)

10. How do you plan to sustain the project’s impact beyond the grant period, if at all? (2000 Character Limit)

Budget Summary and Narrative Justification:

Please attach a budget summary using the form provided on the website. Be sure to include all project costs, any other funding sources, and in-kind contributions, as applicable. A brief justification must be provided for each budget line to explain how it directly supports the goals and intended outcomes of the proposed project.