|
1. |
Project title; |
|
2. |
Primary contact
information and legal signatory contact
information; |
|
3. |
Legal name of
grantee organization (please spell out
acronyms); |
|
4. |
Organization web
site address; |
|
5. |
A brief one to
two sentence overview of your organization; |
|
6. |
The estimated
total project cost; |
|
7. |
The total amount
requested from Affinity; |
|
8. |
A statement of
the problem your project will address; |
|
9. |
The overall goal
of your project; |
|
10. |
An overview of
your project and a discussion of how it
addresses the problem you described above; |
|
11. |
A description of
how your project is innovative and a
discussion of the rationale behind your
project idea; |
|
12. |
A brief
description of your project objectives and
corresponding measurable outcomes; |
|
13. |
A brief
description of the process you will use to
meet your objectives (planning, executing
and analyzing); |
|
14. |
If appropriate
for this project, a list of the potential
partners you could work with that may be
internal or outside your organization;
|
|
15. |
A list of the
staff who will participate in this project
and any staff you will need to hire
including their job title, project function,
and estimated percent effort; |
|
16. |
A brief
description of the other resources that
are/could be dedicated to this project
including matching funds, in-kind staff
time, organizational support, etc; and |
|
17. |
A list of the
last three grants that you have applied for
and whether or not your application was
funded (please include date of each
submission). We are looking to fund projects
that are less likely to access traditional
funding streams (National Institute of
Health, Robert Wood Johnson Foundation,
etc.). |
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