Center for Human Health and the Environment Community Mini-Grant Program

Transcription

1 1 Center for Human Health and the Environment Community Mini-Grant Program Providing funds to assist community-based organizations in addressing environmental health issues Description The Community Mini-Grant Program provides funding to community-based organizations (CBOs) working to address environmental health concerns in their communities, by collecting information, and/or conducting outreach and education. Grantees will receive up to $4,500. Scoring and Selection Criteria The following criteria will be considered: CBO has a demonstrated interest in addressing local environmental health concerns Community demonstrates need for the proposed activities Sufficient support from CBO s organizational leaders (head administrator, etc.) Designated coordinator, volunteers, and staff who can commit sufficient time to project Technical merit of the application (provides specific details, addresses needs, etc.) Eligibility Eligible organizations must be located within or serve North Carolina communities and meet the following requirements: Be a not-for-profit entity Submit ( or mail) a completed application by 5:00pm on August 15, 2016 Include resume of the project coordinator along with the completed application Implement the project within a 12-month period from the time of award (10/1/2016) Provide quarterly updates, submit a one-page final report Participate in an end-of-year presentation to CHHE members. Submit Application to: Katy May kmay2@ncsu.edu or Katy May Campus Box 763 NCSU Raleigh, NC For more information, contact: Katy May at kmay2@ncsu.edu or

2 2 Name of Organization: Type of Organization: Organization Website or Facebook Page: Mailing Address: Name of Primary Contact: Title of Primary Contact: Primary Contact Address: Telephone: Name of Financial Official: Title of Financial Official: Financial Official Address: Telephone: How many paid staff members does your organization have? How many other members or volunteers does your organization have? Organization s Mission Statement: What is your organization s annual budget?

3 3 Who are your top 5 funders? What partners (organizations, individuals) do you collaborate with? What environmental health issues will you be addressing? Project Title: Project Abstract (Word limit: 50): Who is the community that your proposed project targets? Approximately how many people are a part of this community? How did you find out about the CHHE Mini-Grant Program?

4 4 Complete each proposal item below. Each narrative has a word limit. Description of target population and needs 1. Projects must address a community need. Briefly describe the community that your project will serve. Identify the specific needs, and explain how the project will meet the identified needs. (Word limit: 500)

5 5 General Timeline 2. What is your proposed timeline for project planning, implementation, and wrap up? The activities listed generally in this timeline will be described in more detailed in question 3. Start date October 1, (*Note: a project does not have to last for the entire 12-month period.) Stage Month Activity October 1 November December January 2 February March April 3 May June July 4 August September

6 Proposed Implementation Plan 3. How will this project be conducted in your community? Provide a detailed plan. Describe proposed activities and events. Also discuss any barriers you foresee and how you will address them, and the desired impacts. (Word limit: 500) 6

7 7 Organizational Experience 4a. What led your organization to identify the stated environmental health concern? (Word limit: 150) 4b. What steps have you already taken to address the concern? (Word limit: 200) 4c. What is your organization s past experience in addressing related community concerns? (Word limit: 200)

8 8 Budget 5. Please provide an estimated budget, not to exceed $4500. You may include a narrative explanation of items. Some example items are listed below. Item Amount

9 9 Total: Examples of Allowable Budget Items: Examples of Prohibited Budget Items: Project supplies (folders, posters, etc.) Venue/space rental Data analysis Local travel (cost per traveler, etc.) Food and drink (snacks, water bottles, etc.) Personal items