Application Process

The Fund will award Direct Grants through an RFP process. The proposal format is given below.

Responding organizations must complete the cover page, which must be signed by the organization's Chief Executive.

Proposals received after the official closing date will be disqualified.

Grantees are expected to report quarterly on project progress towards objectives and detail all expenditures.

Proposal Guidelines

General Requirements

Proposals will be accepted between October 1 and October 31, 2012. Proposals are due by 5pm on October 31, 2012.

Members of the Advisory committee are available for questions about grant prorities and the award process up until September 30, 2012.  After that date, the committee will no longer be able to answer questions about grants to be submitted.


Outline

1. Cover Page (see below).
2. Project Description, which includes: 
   • Specific purpose for which the grant is requested
   • Justification of the opportunity (why the project is needed)
   • Benefits to be provided
   • Proposed measures of success
   • The constituency expected to benefit
   • The geographic area in which the project is to take place
3. Project Management Plan, which includes
   • Schedule for the project
   • Brief biographical background of the project manager--the responsible person
   • Brief biographical background of the person responsible for implementing the project, if different from the project manager
   • Plans for evaluating the success of the project, including successful completion criteria and metrics
   • Ongoing support and sustainability
4. Financial Plan, which includes
   • The specific amount requested
   • Detailed budget listing of all costs, and in particular, a breakdown of compensation by position (if staffing funds are requested)
   • The realtion to other funding sources, if appropriate

Format
 
Please submit three separate PDF files:

• Cover page
• Description and Management Plan
• Financial Plan

Page Limits
 
The proposal should be single spaced in no smaller than 12 point type.

The page limit depends on the amount requested:

Small projects are defined as less than or equal to $5,000.00. Large projects are defined as greater than $5,000.00.

Page limits for small projects are two pages for the project description and two pages for the project management plan. There is no page limit for the financial plan. This is in addition to the cover page, which is not included in the page limit.

Page limits for large projects are five pages for the project description and three pages for the project management plan. There is no page limit for the financial plan. This is in addition to the cover page, which is not included in the page limit.

Proposal Submission

Proposals should be submitted via email to: fhpmemfund@lifespan.org

Cover Page

The cover page for the grant application should look as follows:

Click here to download a pdf version

Project Title: ___________________________________________________________

Organization: ___________________________________ Tax ID: ________________

Street Address: _________________________________________________________

Mailing Address: _______________________________________________________

Contact Person: _____________________________Phone_____________________

Person Responsible for Project: ____________________________________________

Project Summary: _______________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Project Start Date: ____________________ Project End Date:_____________________

Total Project Budget: _______________Amount Requested:  ___________________

Name of Fiscal Agent Organization: _______________________________________
 (if applicable)

Approval of Official Representative:
The organization named above will act as a responsible agent for any funds received, and will comply with applicable tax laws, regulations, and Newport Hospital policies. We understand that Newport Hospital requires periodic project and financial expenditure reports from grant recipients and may request the opportunity to visit our projects for the purposes of evaluation before awarding a grant or after an award has been made.

______________________________________________________________________
Signature                                         Title                               Date
(or official representative)

______________________________________________________________________
Print Name                                         Title