Covd-19 Grant Application.docx
DOCX document 51 KB Posted
- Attached to
- Covid19 Vac Access Grants
- Solicitation number
- S-X24000-00004787
- Issued by
- Marion County, Oregon
About this file
This document is a grant application for the NorthWest Senior & Disability Services COVID-19 Vaccination Access Grant. The grant is available to community partners in Marion County and the city of Salem, Oregon. The grant funds are to be used to provide culturally responsive, low-barrier access to COVID-19 vaccinations for older adults, family caregivers, and aging network staff and volunteers, with a focus on populations experiencing vaccine inequality or lower vaccination rates. Applicants must submit a work plan and budget detailing how the grant funds will be used, such as for outreach materials, staff costs, educational materials, vaccination event hosting, and other related expenses. The application must be submitted to Shaysee May at NorthWest Senior & Disability Services.
The grant application requires the applicant to describe the populations they serve, the increased needs seen since the onset of COVID-19, and how many people aged 60 and older will benefit from the proposed project. Eligible costs include outreach, staffing, educational materials, advertising, and hosting vaccination events. The grant award amounts are not specified in the document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| WorkPlan for COVID-19 Vaccination Access Grant.docx | DOCX document | |
| 1st Amendment COVID19 Vac RFA.pdf | ||
| COVID-19 Vaccination Access RFA.pdf | ||
| 2nd Amendment COVID19 Vac RFA~1.pdf |
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Text version
NorthWest Senior & Disability Services COVID-19 Vaccination Access Grant Application
AGENCY INFORMATION
Date of Application: Click here to select date.
Name of Agency:
Click here to enter
Physical Address:
Please include city, state and zip code
Mailing Address (If Different) :
Mailing Address
Representative:
Name and position in agency
Contact Information: Phone Type Secondary Phone Type Email Address
Description of population that agency serves:
Please indicate location/county, ethnicity and how many aged 60 and older your agency serves.
Description of what agency does for populations over the age of 60:
Click here to enter
What is your agency proposing to do with the grant funds? How many people aged 60 and older will benefit?
Click here to enter
What is your budget for this project?
Click here to enter
Since the onset of COVID-19, where have you seen increased need in these populations?
Click here to enter
Please select all that will apply for your COVID-19 Vaccination Access and Services grant project:
☐ Outreach Materials – cost for campaigns & materials ☐ Outreach Staff Cost – cost for staff to canvass neighborhoods & host events ☐ Educational Materials – to assist with vaccine hesitancy ☐ Campaign Materials – cost to advertise & promote vaccine events ☐ Hosting of Vaccination Events – cost to rent sites, provide materials, staffing ☐ Other, please indicate: Click here to enter
NEXT STEPS
AGENCY NEED
☐Complete work plan ☐Submit application to Shaysee may
Please forward all completed application materials to Shaysee May at shaysee.may@nwsds.org or contact (503) 304-3492 for additional assistance.
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