Application Template_supportingdocs_ PE_12800.pdf
PDF 194 KB Posted
- Attached to
- 2024-HIV Prevention Services CDC High Impact HIV Prevention/Surveillance for Health Depts (Rebid)
- Solicitation number
- PE-12800-NONST-2026-000000019
- Issued by
- Fulton County, Georgia
About this file
This is an Application Template and Supporting Documents file for Request for Proposal #PE-12800-NONST-2026-000000019, issued by a state health department in response to the CDC's RFA-PS24-0047 for High Impact HIV Prevention and Surveillance for Health Departments. The RFP solicits proposals for HIV prevention services with two primary categories: HIV Testing in Non-Healthcare Settings and HIV Testing in Healthcare Settings. Proposers must submit comprehensive applications including an executive summary (500 words maximum), detailed work plans (5,000 words maximum per category), project team qualifications (1,000 words maximum), relevant project experience documentation (1,000 words maximum), and availability of key personnel statements (500 words maximum). The work plan components require organizations to demonstrate understanding of HIV prevention problems, establish measurable goals including metrics for HIV tests conducted, diagnoses of previously unaware individuals, linkage to care within 7 and 30 days, and PrEP enrollment, describe outreach strategies and testing methodologies, detail innovative HIV prevention activities under either the Treat or Prevent pillar, plan an HIV Awareness Day event, and document data collection and reporting capacity.
The application template requires proposers to provide organizational background information including legal entity name, business type, tax ID, establishment date, annual budget, and website. Applicants must identify key personnel with percentage time dedication and describe current workload. The template mandates submission of resumes for all key staff, with particular emphasis on the project lead's qualifications and demonstrated HIV prevention experience. Organizations must provide evidence of prior HIV testing implementation, process and outcome metrics, cultural competence and language accessibility capabilities, and references from previous work. Proposals must include copies of organizational policies on confidentiality and data security (Attachment E) and reference letters (Attachment G). The solicitation emphasizes demonstrated capacity in data collection, entry, and timely reporting, as well as prior experience with population-specific HIV prevention work and any previous CDC funding history.
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Text version
REQUEST FOR PROPOSAL # PE-12800-NONST-2026-000000019
2024-HIV Prevention Services CDC-RFA- PS24-0047 High Impact HIV Prevention and
Surveillance for Health Departments
RFP Proposer Application Template
Section 1: Executive Summary (500 words max) Legal Name of Entity:
Business Type: Tax ID #:
Establishment Date: Annual Organization Budget:
Address:
City: State: Zip Code:
Website:
Approach & Understanding (500 words max):
Primary Contact: Contact Title:
Contact Phone Number: Contact Email:
Include a brief statement of approach to the work, understanding of the project’s goals and objectives and demonstrated understanding of the project’s potential problems and concerns:
Section 2: Work Plan (5,000 words max) Select Category A and or B if selecting both categories, the Proposer shall include content as described below for each category individually.
Category A: HIV Testing in Non-Healthcare Setting
1. Understanding the Problem (500 words max)
2. Goals (500 words max)
Metrics:
- # of HIV tests
- # unaware diagnosed
- # linked to care in 7 days
- # linked to care in 30 days
- # linked into PrEP
3. Work Plan (5,000 words max)
- Outreach Strategy
- Testing Methodology
- Linkage to Care Plan
- Program Management & Implementation
4. Component 3: Innovative HIV Prevention (1,000 words max)
- Choose Treat or Prevent Pillar
- Detail groundbreaking prevention activities
- How they differ from past practices
5. Component 4: HIV Awareness Day Event (500 words max)
- Event Chosen:
- Event Description:
- Target Population:
6. General Questions
- Data Collection/Entry Capacity
- Reporting Capacity
- Attachment E: Policies on confidentiality and data security
- Timeliness Assurance
Category B: HIV Testing in Healthcare Setting
1. Understanding the Problem (500 words max)
2. Goals (500 words max)
3. Work Plan (5,000 words max)
4. Component 3: Innovative HIV Prevention (1,000 words max)
5. Component 4: HIV Awareness Day Event (500 words max)
6. General Questions
Section 3: Project Team Qualifications (1,000 words max) Provide narrative summary and attach resumes of all key staff. Highlight project lead’s qualifications.
Section 4: Relevant Project Experience (1,000 words max) Business Background:
- Registration
- Mission
- Certifications
- Years in operation
Prior Experience:
- HIV Prevention history
- Population-specific work
- Process/outcome metrics
- Cultural competence & language access
- Previously funded: testing data summary
- Not previously funded: testing implementation plan
- Attachment G: References
Section 5: Availability of Key Personnel (500 words max) Include % time dedicated to project and current workload.
| REQUEST FOR PROPOSAL # PE-12800-NONST-2026-000000019 |
| Section 1: Executive Summary (500 words max) |
| Section 2: Work Plan (5,000 words max) |
| Category A: HIV Testing in Non-Healthcare Setting |
| Category B: HIV Testing in Healthcare Setting |
| Section 3: Project Team Qualifications (1,000 words max) |
| Section 4: Relevant Project Experience (1,000 words max) |
| Section 5: Availability of Key Personnel (500 words max) |
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