2017 FASD Prevention Grants
College Ambassador Program
Request for Proposal
The Minnesota Organization on Fetal Alcohol Syndrome (MOFAS) is committed to preventing
prenatal alcohol exposure and Fetal Alcohol Spectrum Disorders (FASD) by creating awareness
of the danger of drinking alcohol while pregnant and increasing the number of women who plan
their pregnancies and engage in healthy behaviors before becoming pregnant. This includes
educating that there is no safe time to drink when pregnant or planning on becoming pregnant and
understanding how health behaviors like drinking alcohol while pregnant can impact a women’s
health and the future of her baby.
Grants from $500 - $2,500 are now available to organizations and agencies in Minnesota that:
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Educate men and women on the importance of preconception health and planned
pregnancies to decrease the risk of unintentional prenatal alcohol exposure
Increase awareness of the danger of drinking alcohol while pregnant with women who are
pregnant or could become pregnant
Encourage alcohol-free pregnancies by sharing the “049” – zero alcohol for nine months prevention message with women who are pregnant or could become pregnant
These grants will fund community-based organizations who are interested in hosting public events
in order to share these messages with women and families in their community.
Grant Applications Due:
January 20, 2017 by 5:00 PM Central
Grant Recipients Announced:
End of January/Beginning of February 2017
Grant Time Frame:
February 2017 – June 2017
Questions? Contact Sarah Gilland at [email protected] or 651-917-2370.
Apply online: http://bit.ly/prevention2017
These grants are made possible by funding from the Minnesota Department of Health.
Minnesota Organization on Fetal Alcohol Syndrome (MOFAS)
2233 University Avenue West, Suite 395, St. Paul, MN 55114
p: (651) 917-2370 f: (651) 917-2405 tf: (866) 90-MOFAS (66327)
2017 FASD Prevention Grants
College Ambassador Program
Grant Eligibility, Guidelines, and Deadlines
About
Fetal Alcohol Spectrum Disorders (FASD) is a range of effects that occur when a developing baby
is prenatally exposed to alcohol. The effects of drinking alcohol while pregnant lasts a lifetime. For
some groups, FASD affects between 2-4%, or 24-48 per 1,000 children, making it the number one
known cause of developmental disability. Here in Minnesota, as many as 7,061 babies are born
each year with possible permanent brain damage from prenatal alcohol exposure. Help prevent
FASD. Share the 049 – zero alcohol for nine months - prevention message.
Purpose
The Minnesota Organization on Fetal Alcohol Syndrome (MOFAS) is seeking proposals from
qualified applicants to host events to increase awareness about the danger of drinking alcohol
while pregnant, educate men and women of childbearing age on the importance of preconception
health and planned pregnancies, and share the 049 – zero alcohol for nine months - prevention
message with women who are pregnant or could become pregnant. Examples of events that
promote “049” awareness include, but are not limited to:
Example A:
Mocktail Contest
Example B:
04.9k Walk/Run
Example C:
Special Speaker
Example D:
FASD Game Night
Have students
compete in a mocktail
making contest, with
staff, students, and/or
community members
as the judges. Drink
delicious mocktails,
and send everyone
home with alcohol-free
recipes.
Bring college students
and community members
together through a 04.9k
walk/run. Using lawn
signs along the way and
other materials, the
MOFAS preconception
health and “049”
messages are shared
with each participant.
Host an educational talk
from a special speaker.
This could be an
ambassador from your
community or a
representative from
MOFAS’ volunteer
speakers bureau.
Host a game night that is
both fun and educational.
Play a “Jeopardy”-like
game (or other trivia
games) to share
information about FASD,
preconception health, and
alcohol use.
Approximate budget
range: $1,000 $1,500
Approximate budget
range:
$1,250 - $2,500
Approximate budget
range:
$500 – $1,000
Approximate budget
range:
$500 – $1,000
Please consider your university size and organizational capacity when planning and budgeting for
your event.
Eligibility
As part of the FASD Prevention Grant, the College Ambassador Program gives funding preference
to colleges and universities across the state of Minnesota.
In general, funding will not be awarded for:
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Grants to individuals
Revenue generating events
Public service announcements
Advertising/marketing campaigns
Conferences/trainings
Curriculum development
Review Process
All grant applications will be evaluated by a review committee comprised of professionals from the
maternal child health community, MOFAS board members and staff. MOFAS reserves the right to
conduct follow-up interviews with applicants to discuss the grant proposals and any areas that
require clarification.
Use and Disbursement of Funds
All grant funds are distributed on a reimbursement basis only. Grantees must not exceed individual
budget line items. MOFAS has the right to refuse reimbursement on line items that are over the
approved budget; if this happens, your organizations will be responsible for covering the remaining
costs. Please note the “Prizes” line item must not be greater than 15% of the project budget.
Please see included “Budget Worksheet” for details.
Anti-Discrimination Policy
Applying grantees agree that they are committed to compliance with all applicable antidiscrimination laws and do not unlawfully discriminate on the basis of race, religion, color, national
origin, sex, sexual orientation, age, marital status, disability, familial status, status with regard to
public assistance, or other legally protected category or characteristic, in their employment,
programs or activities.
Questions?
We welcome your questions regarding the application process. View our Frequently Asked
Questions here, or contact Sarah Gilland, Public Awareness Coordinator, at [email protected] or
651-917-2370.
2017 FASD Prevention Grants
College Ambassador Program
Grant Application
Checklist
MOFAS looks forward to reviewing your complete grant application. Applications must be received
by MOFAS’ office by Friday January 20, 2017 at 5:00 PM CDT.
Applications can be emailed, mailed, or faxed to:
Sarah Gilland
Minnesota Organization on Fetal Alcohol Syndrome
2233 University Ave W, Suite 395
St. Paul, MN 55114
[email protected]
Fax: 651-917-2405
When applying, please include the following:
 Grant Application (Apply online at http://bit.ly/prevention2017)
 Budget Worksheet (Download Excel file here or visit http://bit.ly/prevention2017)
 Most current financial statement
 Proof of tax status (W9 and/or IRS Determination Letter)
Visit http://bit.ly/prevention2017 to apply online.
Decisions will be made by February 2017. Selected grantees will be notified by email.
FASD Prevention Grant Application
Organization:
Legal Name of Lead Organization: ___________________________________________
Address: ________________________________________________________________
________________________________________________________________________
Telephone: _________________________
Website address: ________________
Facebook: _________________________
Twitter: ________________________
Federal Tax ID Number: _______________
State Tax ID Number: _____________
Type of Organization (choose one): ☐ School
☐ 501(c) 3 Non-Profit
☐ Government
Agency
☐ Tribal Council
☐ Other: _______________________________________
Grant Point-of-Contact:
Name: ___________________________________________________________________
Title: ____________________________________________________________________
Telephone: __________________________
Email: _________________________
Person Authorized to Sign Contracts:
Name: ___________________________________________________________________
Title: ____________________________________________________________________
Telephone: __________________________
Email: _________________________
Grant Overview:
Implementing Agency (if different from Lead Organization): __________________________
County/Counties Served: _____________________________________________________
Event Name: _______________________________________________________________
Grant Amount ($USD) requested from MOFAS: ___________________________________
Have you ever received a grant from MOFAS?  Yes  No If yes, amount of grant? _____
1. Describe Your Community Event or Activity
Please describe the type of event or activity you will implement, including the date, time and
location of the event. For examples of highly successful past events (both on and off college
campuses), please see our Past Grantee Highlights.
What activities will be incorporated at the event for the attendees?
How will you incorporate educational information on the danger of drinking while pregnant, the
importance of preconception health and planned pregnancies, and share the MOFAS “049”
message - Zero Alcohol for Nine Months? Be specific and comprehensive in your explanation, i.e.
distribute information during a community event, host a guest speaker, give an educational
presentation, through trivia/games, non-alcohol drink samples, etc.
The event will be:
 Free of Charge
 Cost (specify): ________________
2. Define Your Target Audience
Total number of attendees you expect to reach:
Please describe the target audience you plan to reach in your community:
Demographics of target attendees: (check all that apply)
Race/Ethnicity
☐ American Indian / Alaska Native
Age
☐ Under 18
Identified Gender
☐ Female
Pregnancy Status
☐ Pregnant
☐ Hawaiian / Other Pacific Islander
☐ Asian / Asian American
☐ Black / African American
☐ 18-24
☐ 25-34
☐ 35-44
☐ Male
☐ Transgender
☐ Gender NonConforming
☐ Non Pregnant
☐ Hispanic / Latino
☐ Non-Hispanic White
☐ 45-54
☐ 55-64
☐ 65 and over
3. Outline the Promotion of Your Event
Describe specifically how your event will be promoted in your community to encourage
attendance/participation. Be sure to include these items in your budget if costs will be incurred.
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Posters, Flyers: How many will you be posting, and where?
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Radio, TV, Community Calendars: Which stations will you be promoting on? When and how
many times do you plan to have the promotions aired? What community groups will you be
promoting to as potential attendees?
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Email, Listservs, Website: Who will you send emails to? Which sites will you post on?
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Social Media: What social media platforms will you use to promote the event? What is the
estimated reach of each of these platforms (followers/impressions)?
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Other:
4. Planning Committee
If a committee or other community partners will help plan and carry out the event, please list their
names, title or position, and the agency or company they are associated with. Describe what the
goals are for the planning committee and how often you will meet.
5. Organization’s Contributions
Describe any financial contributions your organization is willing to make for the event.
6. Sponsors/Community Partners
Will there be other sponsors or community partners that will contribute to the event? If so, please
describe what kind of contribution they will make. For example, an organization that is contributing
financially, in-kind donations, and/or volunteer hours, etc.
7. Explain Your Focus on FASD
Please describe why your organization is interested in hosting an FASD prevention event in your
community and how FASD has impacted your community.
8. Complete Your Budget Worksheet
Please download and fill out the Excel file Budget Worksheet for all anticipated expenses related to
the event and describe what the funds will be allocated for.