APPLICATION CLOSED
This application serves as the request for COVID-19 Emergency Response Funds allocated by the Minnesota legislature on Thursday, March 27th for transportation services to support food security in response to COVID-19. At least $2.64 million in grant funds will be awarded to support a network of transportation organizations in the distribution of food and supplies to clients.

This is a rolling application directed by the Minnesota Department of Human Services in partnership with Hunger Solutions Minnesota. You can fill out additional applications as your needs increase or change. Please submit individual funding request(s) of COVID-19 response related expenses (up to $100,000 per request). If funding is approved, funds will be sent to the provider no later than 2-3 weeks after request is approved.

Please note, you are NOT able to save your progress along the way.

Eligible entities who may apply for funds include, but are not limited to: Tribal Governments, Nonprofit Agencies, or Local Units of Government. Grantees of these funds DO NOT need to be current Minnesota Food Shelf Program grantees, nor do they have to be current grantees of any funding from the Department of Human Services, or the Office of Economic Opportunity (OEO). Grant funds may be used to support transportation efforts through initiatives such as mobile food shelves, meal programs, and other support services that get free or low-cost food assistance to people in need. Programs should be planned so that people receive food regardless of immigration status.

By submitting this form you agree to:

• Provide a W-9 form confirming agency authenticity;
• Provide ACH form, with a voided check copy.
• Use funds only for purposes identified in award letter. Receipts must be available upon request that equal
        grant amount and indicate what funds were used for;
• Document and maintain records of all expenses, to be maintained for seven years;
• Be monitored by Hunger Solutions Minnesota, in coordination with the Department of Human Services.
• Abide by all CDC and MDH health and safety recommendations in regards to COVID-19. This applies to all
       food shelf distributions, staff and volunteer work, and participant and community interactions.  

Funds can only cover expenses from April 13, 2020 and beyond (i.e. funds cannot be used to cover any expenses incurred prior to April 13, 2020). Funds must be expended by June 30, 2021.


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Provider/Agency Address (Street, City, State, Zip) *
If services will be provided at a different location than the main address above, please list address(es)/detail(s) below:
For non-profit organizations, provide your total revenue in the most recently completed fiscal year.
Primary Program Contact - Full Name (First and Last): *
Primary Program Contact Email Address *
Primary Program Contact Phone Number:
Fiscal Contact - Full Name (First and Last): *
Fiscal Contact Email Address: *
Fiscal Contact Phone Number: *
Briefly describe your program model for using transportation services to increase free or low-cost food assistance for people in need (Grant funds may be used to support transportation efforts through initiatives such as mobile food shelves, meal programs, and other support services that get food assistance to people in need). *
Please select the transportation program model(s) that best represents this funding request. Check all that apply.
3. Please select the food distribution program model(s) that best represents this funding request. Check all that apply.
Primary target population(s) for this funding request? Be as specific as possible.  
Describe how this funding directly increases food security from COVID-19 virus:
Number of households who will be supported with this request:  
What is your TOTAL FUNDING REQUEST for Food Security Transportation Services? (up to $100,000)  
Brief budget narrative describing request amount. For example provide –an itemized breakdown of projected costs within categories such as food, mileage, vehicle purchase and/or maintenance, personnel, gas, utilities, supplies to transport food, sanitation and hygiene supplies, and more. *
Please describe how project(s) are coordinated with local efforts (e.g. work of non-profits, cities/counties, Tribal governments, public health, etc.) to respond to COVID-19. *
It would be helpful for us to understand your comprehensive needs in responding to COVID-19 - including needs ineligible for these funds or otherwise unable to be met. This information will be shared with other entities supporting this work (A response to this question is not required to submit your request).
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