2021 Proposal Submission

Be sure to complete ALL of the information requested below.

Contact Trinity Health Foundation with any questions that may arise - lmetler@trinityfound.org or (865)632-5678.

SUBMISSION DEADLINE: March 24th at 12:00 NOON

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Step 1: Organization Information

Organization Name *

Federal EIN (Employer Identification Number) *

Upload the letter from the IRS stating that your organization is exempt from Federal income tax under section 501 (c)(3) (or equivalent) to show non-profit status. *

Mailing Address *

Address 2

City *

State *

Zip Code *

Website 🛈

Grant Categories *

Apply in Small Grant Category

Apply in Large Grant Category

Small Grant Amount Requested (Up to $5,000) *

Large Grant Amount Requested (Up to $15,000) *

Trinity Initiative *

Proposal Title *

Proposal Leader *

Phone (w/area code) *

Email Address *

Proposal Certifying Officer *

Phone (w/area code)

Email Address

Step 2: Proposal Outline

1. ABSTRACT (Title of Proposal)

In a 250 word or less abstract/summary, clearly define the issue to be addressed and proposed solution(s). Include a summary of the problem addressed, the target community/demographic, the expected measurable impact if successful, any collaborators that you might reach out to in order to execute the project (local or from other areas) and any preliminary thoughts on how this project would be financially sustained. *

0/250 words

2. NEED/PROBLEM STATEMENT & TARGET SERVICE AREA:

What is the purpose of the project and who is it expected to benefit? Describe the specific community problem or need to be targeted by the project. How has your organization evaluated the need for the service/project you are proposing (surveys, literature review, successful projects in other cities)? Describe the specific population (who and how many) and geographical area that will be targeted by the project. Describe best practices being used locally or elsewhere to address this problem revealing an understanding of the background of related efforts. *

0/400 words

3. INTENDED OUTCOMES & MEASUREMENTS

What methods will be used in Phase I to validate the need and measure the impact in a Phase II implementation? If this project was implemented, what would be the desired outcomes and how would they be measured? *

0/300 words

4. INNOVATION, EXPANSION, or CONTINUATION

Is this proposed project best categorized as a new service, an expansion of current services, or a continuation of current services for your organization? What is the nature of this proposed effort related to your current ongoing activities? If this is a new service, where did the idea for this originate? If this is an expansion of services, how is the expansion described (locations, hours, capacity, etc.) and why is it needed? If it is a continuation of services, why has the financial need for Trinity funds arisen? *

0/300 words

5. POTENTIAL COLLABORATORS & PROJECT SUSTAINABILITY

If this project continues to implementation in Phase II, who are the ideal community partners and how might the project sustain itself after the initial funding period? Describe your organization’s historical ability to successfully implement and manage similar projects and achieve the results intended. Discuss potential collaborating partners (letters will be needed for the Phase II proposal, but a list/role for potential partners is all that is needed for this Phase I proposal). Describe the potential funding approach to sustaining the project after a successful Phase II implementation (gifts, service fees, and payments, partnering organization support, other?) *

0/300 words

6. USE OF FUNDS

What will the requested Phase I funds be used for? Phase I planning/pilot-scale funds can be used for direct personnel support, travel to study successful efforts in other locations, and/or material costs for pilot-scale demonstrations, etc. Phase I grants are not to be used for capital investments or unrestricted organizational support. A preliminary budget describing how the Phase I funds will be used shall be provided with the proposal. A detailed Phase II proposal and budget will be required at the completion of Phase I. *

0/300 words

Step 3: Proposal Certification

As a representative of the submitting organization, I have read and approved the submission of this grant application to Trinity Health Foundation. I certify the following (all three must be checked to submit): *

Our organization is a tax-exempt entity 501(c)(3) or equivalent.

Our organization will support the proposed effort and seek to accomplish the objectives described herein on a best effort basis.

I have reviewed and agree that Phase I grant funds will not be used for capital investments or unrestricted organizational support.

Submission *

I have completed the submission and understand that I will not be able to make any changes once I mark this check box (and my submission is complete).

IF YOU WISH TO KEEP A COPY FOR YOUR RECORDS, PRINT BEFORE YOU CLICK THE SUBMIT BUTTON.