Request for Proposals
Community Health Program Grants:
Promoting Academic-Community Collaboration and Positive Health Outcomes
Key Due Dates:
 Pre-Application Information Session— October 23, 2013 **strongly encouraged, not required
 Letter of Intent—November 13, 2013 **strongly encouraged, not required
 Final Proposals—December 10, 2013
 Grants Awarded— January 2014
 Grant Project & Budget Period—March 31, 2014-March 31, 2015
Summary of the RFP
This Request for Proposals (RFP) is being issued to elicit proposals focusing on health partnerships that improve
outcomes in children, adults, and/or community.
Funding will be awarded to proposals in the following categories:
Community-Academic Partnerships—Partnership where the community partner is the principal partner or
investigator working to facilitate innovation in research, evidence-based practice, or quality improvement.
Academic-Community Partnerships—Partnership where the academic partner is the principal partner or
investigator working to facilitate innovation in research, evidence-based practice, or quality improvement.
Grant applicants have the opportunity to receive up to $20,000 in funding. The funds will be awarded to partnerships
between academic and community organizations/programs. Funding may be designated to a single grant application or
split among several grantees depending on the quantity and quality of applications that are received. A review
committee of both academic and community members will consider the proposals, designated funds and the potential
for impact when making award.
Who Should Apply?
Community programs, agencies, physician practices and other not-for-profit organizations may apply as community
partners or community principal investigators. Faculty or affiliates of CCTST partnering institutions may be considered
academic partners or academic principal investigators. Applicants that propose to work collaboratively to impact the
health of individuals (children and/or adults, etc.), clearly articulate the goals of their program include related outcomes
and measures, and are able to evaluate and sustain these efforts beyond the grant period will be most competitive.
Applicants should also consider how their partnerships and programs are innovative and how these efforts will lead to
impact among those served. The proposed programs and numbers served should be described relative to the dollars
requested. The proposed project should be feasible and will need to include a procedure for consenting participants and
a plan for how partners can continue collaboration beyond the grant period. Applications that propose to improve health
are essential; however, applications that propose to improve childhood asthma, pediatric obesity, pediatric injury, infant
mortality, diabetes, adult neuroscience, and minority health are most aligned with CCTST strategic priority areas as well
as those that align with the United Way Bold Goals.
*All applicants are required to become members of the CCTST members at the following website:
http://cctst.uc.edu/about/cctst-membership. Membership is free and entitles applicants to resources to support their
programs.
Requesting Application Materials & Submitting Final Applications
Application materials can be downloaded from the CCTST Community Engagement website
(www.cctst.uc.edu/community/grants-funding-opportunities) or they can be requested by e-mail to [email protected].
Questions can be directed to Teresa Smith at: (513) 803-0917or [email protected]
Mail or e-mail 1 complete application packet to:
Mail Address: Cincinnati Children's Hospital Medical Center Email Address: [email protected]
Attn: Teresa Smith
3333 Burnet Avenue, MLC 8700
Cincinnati, OH 45220
Community Health Program Grants Application Instructions and Format
Application Instructions: Please limit the application form to the 12 pages, including the attached face page (1inch
margins, 11 point Arial font). Please complete the attached face page in one page or less. Limit appendices to concise
information on the program and applicants. Include Letters of Support from all partners included in your grant proposal.
Mail or e-mail 1 completed copy of your application packet to:
Cincinnati Children's Hospital Medical Center
Attn: Teresa Smith
3333 Burnet Ave, MLC 8700
Cincinnati, OH 45220
[email protected]
1. Strengths of the individual, organization, or collaborative:
Highlight strengths of the applicant/organization applying for the grant.
Highlight strengths of the partnering applicant(s)/organization(s).
2. Description of proposed health program or activities, including the key health challenges and
questions that will be addressed through the project:
Describe how grant funds would be used to answer important questions about health and/or improve
health in a targeted population in a community.
3. Description of the proposed partnership, impact and the innovation of the project:
Describe partnership and how will the partnering organizations/agencies operate or work together to
accomplish the proposed goals?
Number of proposed individuals to be impacted as a result of this project: ___________
How will the proposed partnership be effective in impacting those served?
How will the proposed program be innovative in improving health?
Please provide any prior evidence of impact (quantitative or qualitative information/data) to support the
feasibility of the proposed application.
4. Research and/or Evaluation Plan:
What are the outcomes?
How will the impact of the project be evaluated?
What measures will be used?
5. Project and Budget Timeline:
A budget for the project and timeline of activities should be provided. Applicants can apply for any
amount of money up to $20,000; however, applicants that apply for grants greater than $10,000 will need
to discuss how the project could be administrated with fewer funds should the full award not be granted.
*Funding will not cover indirect costs for institutions affiliated with the CCTST.
How will the grant funding be distributed between the academic and community partners involved?
*Note that the budget should align with the proposal and funds should be distributed evenly among the
academic and community partners. A budget template will be available at the pre-application
information session and posted at http://cctst.uc.edu/programs/community/funding.
How will the grant be administered with a reduced budget (e.g., 10-25% less funds)?
6. Community Benefits/Sustainability Plan:
Please include a brief description of how the proposed project benefits the community, improves health
outcomes and can be sustained beyond the grant period.
What will be the relationship between academic and community partners once the grant ends?
CCTST Community Health Grant Face Page
1. TITLE OF PROJECT (Do not exceed 56 characters, including spaces and punctuation.)
2. GRANT APPLICANT
2a. NAME
2b. DEGREE(S)
2c. POSITION TITLE
2d. ORGANIZATION/ AGENCY
3. ACADEMIC/ COMMUNITY PARTNER (Add lines for additional partners)
3a. NAME
3b. DEGREE(S)
3c. POSITION TITLE
3d. ORGANIZATION/ AGENCY
4. PRIORITY HEALTH AREA (Check all that apply)
Childhood Asthma
Pediatric Injury
Diabetes
Adult Neuroscience
Infant Mortality
Vulnerable Populations
Obesity
Other:_________________________
United Way Health Bold Goals (prevention & wellness, access to quality care, chronic disease management)
5. PRIORITY NEIGHBORHOOD (Check all that apply)
6. NUMBER OF PERSONS TO BE SERVED (Estimate)
Avondale
Price Hill
Youth:___________________
Adult:_______________
Covington
Other:__________________
Those with special health conditions
(please describe): ____________________
Other (please describe):
_________________________
7. BRIEF DESCRIPTION OF PROPOSED PROJECT/ ABSTRACT:
8. TOTAL FUNDS REQUESTED AND BRIEF DESCRIPTION OF HOW FUNDS WILL BE USED (Budget summary):
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