MEMORANDUM

TO:                Madison County Mental Health Board
                       Current Contracted Service Providers

FROM:          Jennifer Roth, Executive Director
                      Madison County Mental Health Board 

DATE:            July 1, 2016 

RE:                 Funding Application Materials for FY 2017 

In the links below you will find the materials needed to complete the FY 17 application for funding from the Madison County Mental Health Board.  FY 17 is the third and final year of the current three year funding cycle; and therefore an application renewal year. A grant-funded system will be utilized for most services.  The Mental Health Board will be reviewing its funding priorities and measuring the impact of cuts to and non-payment of core mental health, developmental disabilities and substance abuse services.  The Board appreciates all of your hard work and values the services you provide. 

If you are requesting an increase in program funding, please provide sufficient detail on the “Changes in Funding Rationale Page” attaching any supplemental reports to support the increase.  Please complete all forms as descriptively and thoroughly as possible.     

Applications are due by 12:00 p.m. on Wednesday, July 27, 2016 (received in office – not postmarked).  Late applications may not be reviewed.  Kindly return ten (10) completed copies of your renewal application to the Board office.  Each of the ten copies should include a cover letter, all application forms, and any supplemental information for Board and Staff to review.  Failure to comply with these stipulations could affect funding. 

Application review meetings may be utilized as necessary by Board and Staff.  Feel free to call the office to further discuss your submitted application or any questions about the process at 296-4358.

1) Application Checklist
2) Request Page
3) Changes in Funding Rationale Page
4) Directions for Current Contractors
5) Cover Page
6) Expense & Revenue Forms