Application Questions

Application Questions Download
The application consists of three basic sections: a proposal narrative; questions which provide us with an executive summary of your proposal; attachment of financial documents. The proposal narrative is your opportunity to provide an in-depth description of your project and organization, while summary questions provide a concise snapshot. We encourage you to save time by using content from the narrative to complete the summary questions.

To make your document easier to read, please maintain appropriate spacing between paragraphs and refrain from using small font sizes and narrow margins.

Proposal Narrative Guidelines
Please include the following information in the proposal narrative, which you will upload to your online application. The narrative should not exceed 7 pages.

a) Organization Background—Provide your mission statement, a brief history of the organization including the year it was founded, and a description of the scope of your organization’s services and activities.

b) Project Description:

  • State the need to be addressed and the population to be served
  • Explain why the planned project will address the identified need
  • Describe what will occur during the grant period, including information about the type of activities planned, their frequency and duration, start and end dates of implementation. Note that applications must be for project activities that begin after June 15.
  • Describe the project’s targeted outcomes and the measurements you will use to assess success and change over time. The proposed outcomes will be used to report on the project during the middle and at the end of the grant period. You may use our Goal and Outcomes Worksheet to help you develop your ideas. The worksheet also contains helpful definitions and examples. You are not required to submit this document, but you may do so if you wish.

All Prescription Medication Funding requests must also:
a)  Indicate the estimated number and costs of medications to be funded and conditions to be treated. If funding will support copays, please note this.

b)  Identify how your organization defines successful disease management, including if applicable, such approaches as:

  • Maximizing the use of medication through the use of other non-Rx disease management strategies
  • Ensuring patient compliance
  • Improving access to prescription medications
  • Addressing the challenge of prescription affordability