COMMUNITY ENGAGEMENT (CE) COMMUNITY/ACADEMIC RESEARCHER PILOT GRANTS PROGRAM REQUEST FOR APPLICATIONS 2018

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COMMUNITY ENGAGEMENT (CE) COMMUNITY/ACADEMIC RESEARCHER PILOT GRANTS PROGRAM REQUEST FOR APPLICATIONS 2018 I. Background Community Engagement (CE) is a core key function of the Georgia Clinical and Translational Science Alliance (Georgia CTSA), a collaborative effort of Emory University, Morehouse School of Medicine, Georgia Institute of Technology (Georgia Tech), and University of Georgia (UGA). CE aims to support community-university research partnerships, facilitate community input into university research, and build community capacity to conduct health research that is both responsive and relevant to the health needs of the community. This grants program is designed to meet these aims through the provision of funding and technical assistance to community-based organizations (CBOs) and academic researchers/faculty to conduct community engaged research. The CE invites proposals from CBOs or academic researchers/faculty interested in conducting a research project. All projects must clearly demonstrate a partnership between an academic researcher/faculty affiliated with Morehouse School of Medicine, Emory University, University of Georgia, or Georgia Tech and a CBO that addresses a mutually identified health-related need, issue, or priority. Applicants may also request that CE help them find an academic researcher/faculty partner or CBO with whom to partner. If selected, the CBO and academic researcher/faculty partner will conduct a pilot study that positions them for future collaborative research. The grant will provide $20,000 over a 12-month period. The partnership will also be provided with a graduate research assistant (10 hours per week) to help with the pilot study. The project will be funded in two phases as follows: Phase 1 (April 2019 to August 2019): During this period, grantees and researchers will attend a kick-off meeting and begin planning in collaboration with their new/existing academic researcher/faculty partner. Funding for Phase 1 will be up to $10,000. The deliverables include a one-page summary of the proposed pilot study and submission of the study protocol to the Institutional Review Board (IRB) of the partner university (a required step in conducting research that involves human subjects ). Phase 2 (September 2019 to March 2020): During this period, grantees will conduct the pilot study planned in Phase 1 and work to write a summary of the results. Funding for Phase 2 will be $10,000. Deliverables for this phase include: 1) data collection for the pilot study (e.g., surveys, interviews, focus groups, pre-post evaluation); 2) a brief report of the results; and 3) a description of next steps for the research partnership, such as plans for a grant proposal submission to a federal agency. All grantees will be required to participate in a cross-site evaluation. 1

II. Eligibility Criteria - Applicants (lead contacts) must be in one of the following categories: Community-based organizations (CBOs) eligible to apply for this grant opportunity must: 1. Be not-for-profit under Section 501(c)3 of the Internal Revenue Code. 2. Express interest in partnering or have already partnered with faculty affiliated with Morehouse School of Medicine, Emory University, Georgia Tech, or University of Georgia, for the proposed project. 3. Serve communities within the state of Georgia. Faculty researchers from Emory University, Morehouse School of Medicine, Georgia Tech, and University of Georgia are eligible to apply for pilot and feasibility funding if they fit in one of the following categories: 1. Junior faculty (e.g., Assistant Professor, Clinical Lecturer, Instructor) with limited current or past research support as PD/PI. 2. Established investigators who have a fully-engaged community-based organization as a partner. 3. Post-doctoral Fellows with a supporting senior Co-PI /mentor (paid effort for Co- PI/mentor is not allowed). Faculty researchers must also express interest in partnering with or have already partnered with a CBO serving communities within the state of Georgia for the proposed project. All applicants must commit to have at least one community partner and one academic researcher/faculty partner attend a kick-off meeting. No grants will be made to individuals. III. Funds Available A maximum of two grants of up to $20,000 will be awarded over a 12-month period beginning in February 2019. Budgets may include non-administrative personnel (salaries and fringe), consultants, supplies, and other approved expenses. Budgets may not include capital expenditures for equipment, charges for patient care, or rental costs of off-site facilities. IV. Application Requirements Cover letter that includes: 1. Organization Name 2. Contact Person (Name, address, phone and fax number, and e-mail address) 3. County Represented 4. A statement that you are applying for the Pilot Grant 2

Proposal narrative (using template in Section 10) that: 1. Is no more than 5 pages (the budget and budget justification are not included in this count). 2. Is in black font color, and a font size of 11 points or larger (Times Roman, Arial, Courier). 3. Includes a detailed description of the community you serve and a high priority health disparity that you would like to address through the pilot study. 4. Explains how the pilot study would be helpful in addressing the disparity. 5. Describes organizational experience and capacity to address the selected health disparity/research topic. 6. Describes interest in conducting collaborative research to address the health disparity. 7. Describes an existing academic researcher/faculty community research partnership that will conduct the pilot study OR describes the type of faculty partner (e.g. expertise) you are seeking to engage. 8. Describes organizational capacity to maintain a long-term research relationship, AND identifies a staff person to serve as the researcher s main liaison. NOT included in the 5-page limit: A budget and budget justification. A copy of the organization s 501(c)3 status. Resumés from two team members (at least one CBO member and one academic researcher/faculty) who will attend the kick-off meeting and be involved in the project. A letter of commitment from the faculty partner if appropriate. V. Selection Process A selection committee appointed by the CE Steering Board will review all proposals. Selection will include review and input by the CE Community Steering Board. Decisions will be based on the following criteria: 1. Background: extent to which the description of the community and health disparity demonstrates an understanding of the health problem, its causes and possible solutions, and the rationale for a pilot study to address the health disparity. (25 points) 2. Experience and Leadership: organizational history and leadership needed to address the identified health disparity through research. Consideration will be given to applicants with a track record of addressing the health disparity. (25 points) 3. Interest in Research Partnerships: description of why the CBO/faculty member/post doc is interested in partnering in community-engaged research to address the health disparity and/or a description of the existing partnership; commitment to participate in all projectrelated activities. (25 points) 4. Organizational Capacity: description of at least two staff, one of whom will serve as the primary liaison to the researcher and who has adequate time to commit to the project (25 points) 5. Budget and Justification: clarity of the budget and justification. (no points) TOTAL POINTS: 100 3

VI. Important Dates/Timeline 11/05/2018 Grant Application Informational Teleconference 11/19/2018 Letter of Intent Due 12/17/2018 Deadline for Receipt of Applications 02/01/2019 Award Notification 03/2019 Grantee Kickoff Meeting 04/2019 Anticipated Project Start Date for Phase 1 VII. Letters of Intent Letters of intent are strongly recommended but are not required. If your organization chooses to submit a letter of intent, letters must be received by 5:00pm EST 11/19/18 via U.S. mail or e-mail at the address specified in Section VIII below. (Letter should contain title of project and a description of the community identified health disparity maximum two paragraphs). The letter of intent is not binding. VIII. Application Submission An electronic copy of the application must be received by 5:00pm EST on December 17, 2018. Please submit one pdf document and save the document with your organization name. Upload the application to https://form.jotform.com/82944729572167 IX. Technical Assistance: Grant Application Teleconference A teleconference will be held at 1:00pm on November 5, 2018 to discuss the purpose of the funding, review the application process, and answer questions from potential applicants. Please dial 1-866-730-7514, PIN 978973#. Materials for the call can be downloaded from the CE website (http://georgiactsa.org/community/cerp.html), Materials will be available after 10/22/18. If you have any questions about this Request for Applications or the application process, please contact gactsacepilot@msm.edu Technical Assistance will be provided throughout the grant-funded timeframe. 4

X. Proposal Narrative Template (5 pages max) 1. Background: Describe the community served by the CBO and the community-identified health disparity you would like to address with the help of a research partner. Describe the impact of the health problem in your community, the possible causes, and potential solutions. Describe why a pilot study/project is appropriate for addressing the disparity (e.g., Why would it be helpful? What do you hope to learn?). (25 points) 2. Experience and History: Describe the CBO s organizational history and leadership to address the identified health disparity. Consideration will be given to applicants with a track record of addressing the health disparity and with strong community ties. Be sure to include a description of past and current programs and services to address the health disparity. (25 points) 3. Interest in Research: Describe why the applicant is interested in an academic researcher/faculty and community partnership to address the health need, issue or priority and document their commitment to participate in all project activities (half-day meeting, regular meetings with partner, technical assistance, cross-site evaluation, and the pilot study). If you are seeking a partner, describe the expertise you need in a partner. If you already have a partner, describe the partnership including past projects and experience in jointly conducting research projects. (25 points) 4. Organizational Capacity: Describe the qualifications of at least two staff who will work on this project, including who will be assigned as the main contact person for CE and the partner (include their resumes/cvs as attachments). Describe the capacity of the applicant to be a stable and long-term research partner. If a CBO, include the number of full-time employees in the organization and the annual operating budget (total dollars per year). (25 points) 5

COMMUNITY ENGAGEMENT (CE) COMMUNITY/ACADEMIC RESEARCHER PILOT GRANTS PROGRAM BUDGET PROPOSAL PAGE (EXAMPLE) The following is an example worksheet for completing the grant budget. The specific categories and line items presented here are merely examples, and not all of them may be relevant to your proposal. Provide a detailed budget for Phase 1 AND Phase 2: Type of Expense Dollar ($) Value Personnel Coordinator.. Administrative Assistant.. Consultants (Not to exceed $400 per day).. Supplies Office.. Computer.. Software.. Printing.. Incentives for Study Participants.. Travel (Example) Local Travel (500 miles x $0.545 per mile).. Lodging at $200.00 per night.. Per Diem at $50 per day.. Contractual Costs Recruiter of Facilitator.. TOTAL:.. 6

COMMUNITY ENGAGEMENT (CE) COMMUNITY/ACADEMIC RESEARCHER PILOT GRANTS PROGRAM GRANT BUDGET JUSTIFICATION PAGE (EXAMPLE) Narrative Budget Justification*** Personnel Explain the specific need addressed and/or project responsibilities of each identified staff person included in the budget. Supplies Briefly describe the need for specific supplies and an explanation of how the cost has been estimated. (e.g., flipcharts needed for data collection staff (5 @ $15/chart = $75) Travel Explain need for all travel and anticipated expenses. Travel must be directly related to proposed activities. (Not to exceed $2,500/year) Contractual Costs Explain the need for each contractual arrangement and how these components relate to the overall project. Consultant Fees Cannot exceed $400.00 per day. If consultants are included in this proposal, explain the need and project responsibilities ***Grant funds may not be used for the following types of expenses: Grant funds cannot be used for large equipment or entertainment expenses. Food may only be covered with very strong justification (e.g., for a recruitment event or a community meeting). Grant funds cannot be used to pay salary or consulting fees for Morehouse, Emory, Georgia Tech or University of Georgia faculty. 7