Each time someone stands up for an ideal, or acts to improve the lot of others, or strikes out against injustice, he sends forth a tiny ripple of hope.                 - Robert F. Kennedy

Community Health Fund application forms are available in both Microsoft Word format as well as Adobe PDF* formats.

Long Form:
Use this form for grant requests above $5,000. Print this form, complete and return to Eden Township Healthcare District, 20410 Lake Chabot Road, Suite 1A, Castro Valley, CA 94546. Questions? Call (510) 538-2031.

• Long Form - PDF
 
• Long Form - Word
 
 

Short Form:
Use this form for grant requests below $5,000. Print this form, complete and return to Eden Township Healthcare District, 20410 Lake Chabot Road, Suite 1A, Castro Valley, CA 94546. Questions? Call (510) 538-2031.

• Short Form - PDF
 
 
• Short Form - Word 
 

*If you do not have the ability to view Portable Document Format files (known as pdf files) you can go to the Adobe site by clicking on this link. Download the appropriate version of Adobe Reader for your platform.