OB S-44300-00002745 OHA 5404 Attmnt 2 Grant Application.docx
DOCX document 28 KB Posted
- Attached to
- Infant Safe Sleep Campaign Community Mini Grants
- Solicitation number
- S-44300-00002745
- Issued by
- Marion County, Oregon
About this file
This document is a grant application for the Infant Safe Sleep Campaign Community Mini Grants, a contract opportunity offered by the Oregon Health Authority (OHA) MCH Section. The grant seeks to develop and implement culturally responsive community awareness campaigns to promote safe sleep for infants, using health messages developed by the Oregon Safe Sleep Coalition. The application requires respondents to provide details on their organization, the community they will serve, their experience with safe sleep promotion, and their proposed implementation plan. The application also includes a budget template for allowable expenses such as staffing, outreach materials, incentives, and administrative costs. The completed application must be submitted via OregonBuys by 1:00 PM on May 23, 2022.
The grant funding is intended to support community-based safe sleep awareness campaigns, with up to 20% of the budget allowed to be reallocated between categories without prior approval. The campaigns are expected to reach pregnant individuals and caretakers of young infants, including childcare providers. The lessons learned from these community campaigns will be used by the OHA MCH Section and the Oregon Safe Sleep Coalition to inform future safe sleep awareness efforts.
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Other files
| File | Type | Posted |
|---|---|---|
| 35155 Attachment C Cover Sheet.docx | DOCX document | |
| OregonBuys Bid S-44300-00002745 RFGA 5404 Amendment 1.pdf | ||
| OB S-44300-00002745-OHA 5404 Final~1.pdf |
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Text version
Attachment 2
GRANT APPLICATION
MCH Section Safe Sleep Mini-Grants Please complete the following questions within 5 pages. Submit completed application via OregonBuys by 1:00:00 PM on May 23, 2022.
Information Requested – Part One Please fill in the following information for your organization.
Organization name:
Organization website:
Organization address:
| Physical – |
| Mailing – |
Tax ID, EIN, or FIN:
Contact name:
Contact phone number:
Contact email:
Information Requested – Part Two
1. How did you hear about this mini-grant opportunity?
2. Provide a brief description of your organization including:
· Community served and impact of health disparities.
· Geographic area served.
· Why is your organization interested in this mini-grant opportunity?
3. Which community of focus will your organization work with? (select one or both) ☐ African American/Black families ☐ Native American/Alaska Native families
| 4. | Describe your organization’s prior experience engaging pregnant people and people caring for young infants in safe sleep promotion or other health promotion activities. |
| 5. | Describe how you will implement a culturally specific local safe sleep awareness campaign. Include the number of people you estimate being able to reach with your effort. |
| 6. | Describe methods you will use to provide outreach to and engage pregnant people and people caring for young infants (including childcare providers). |
| 7. | Budget |
All applications must include a budget proposal. Note: up to 20% of funding can be moved between categories without prior approval. Any budget amendment above that amount will require prior approval. The following are allowable expenses in the development of your budget:
· Rental of meeting space/booth
· Advertisement and outreach materials
· Meeting refreshments
· Safe Sleep items (portable crib, sleep sack)
· Transportation/parking reimbursement
· Childcare
· Incentives for participation (e.g., gift card or stipend)
· Interpretation and translation services
· Employee or contracted staff time
| Expenditure |
| Safe Sleep mini-grant |
| Other/in-kind resources |
| Total |
Agency staff
Contracted staff
Rental of meeting space/booth
Travel
Interpretation
Translation
Outreach/advertising materials
Childcare
Refreshments
Incentives
Other #1 (please specify)
Other #2 (please specify)
Other #3 (please specify)
Sub-total
Administrative (not to exceed 10% of direct charges)
Total
OregonBuys Open Market Bid # S-44300-00002745
RFGA 5404/SC
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