1 Create a ZoomGrants™ account (below) or log in to your existing account (above) 2 Select a Program to apply for, then click the Apply button to get started 3 Answer the questions and/or fill in the fields in each tab 4 If necessary, upload any requested documents 5 Submit your application and wait for a decision 6 If you are selected to receive funding, you might be required to submit invoices or reports through your application
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CareOregon Community Benefit Program Development Investment Grant Application ($20,000 - $80,000) Significantly contributes to CareOregon’s 2017 Areas of Priority 2017 Areas of Priority FALL 2017 ACEs (Adverse Childhood Experiences) Shared Learning Cohort: Development Investment requests that have the greatest impact on issues related to preventing, identifying and responding to children’s trauma (ACEs) will be prioritized. CareOregon’s intention is to learn the best practices for building resilience in families with young children and fostering trauma-informed environments where children gather, including childcare centers and schools. Capacity Investment Grant Application ($1,500 - $20,000) Addresses a CareOregon 2017 Core Focus Area 2017 Core Focus Areas CareOregon Core Focus Areas are Childhood Development, Member and Community Empowerment, Community Health Improvement Plans and Partnerships to Address the Social Determinants of Health.
Tax Exempt Status - All applicants must provide evidence of their tax exempt status upon application submission. Shared Learning Cohorts – The recipients of Development Investments awarded in Spring 2017 will be asked to participate in a learning cohort. The cohort will meet 3-4 times with one another and key CareOregon staff. Technical Assistance - Grantees will have access to Technical Assistance in the form of third party consultation to help in the crafting and tracking of appropriate metrics and evaluation.
Applying entities must include evidence of their tax-exempt status. Organizations are eligible for 1 Capacity or Development Investment per calendar year. If your organization is awarded a Capacity or Development Investment, your are not eligible for a Sponsorship from CareOregon for 12 months. Receipt of a sponsorship from CareOregon does not impact Investment grant eligibility.
By entering your initials here you certify this submission truthfully and accurately represents your application and is hereby submitted for review. Submission of this application does not, in any way, guarantee that your application will yield a favorable result.
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Applicant Cover Letter - Outline the mission of your organization, provide an overview of your grant request and list the goals of your program, project or service.
1. Include your Cover Letter here You may instead choose to attach your cover letter to your application. You will be prompted to do this under the attachments section. You only need to include your Cover Letter in one place.
Please select one (1) grant to apply for. Answer all the questions within the space provided. Selection Criteria: 1) Strategic Alignment with CareOregon – How well do the proposed outcomes match CareOregon’s 2017 areas of priority? 2) Benefit to our Medicaid and Medicare members – Proposed outcomes should not only be achievable, they should be expected to have a significant and positive effect on the health and well-being of CareOregon members. 3) Scale, Stability and Viability – Is the scale of the proposal realistic? What is the probability that the investment will fully achieve its expected outcomes, and that they will be sustainable over time? 4) Measurable Outcomes and Reproducibility – Can the results of the program or project be objectively measured? If successful, what is the likelihood that others can successfully replicate this work? 5) Equity – Where is the work being done and with what populations? How does the work seek to advance health equity? Does the program or organization exist to address a specific health disparity?
1. Select the Investment Grant you are applying for.
Development Investment grants are $20,000 - $80,000 and address CareOregon's Priority Funding Areas.
Capacity Investment grants are $1,500 - $20,000 and address CareOregon Core Focus Areas.
2017 Priority Funding Areas:
Fall - Adverse Childhood Experiences (ACEs)
2017 Core Focus Areas:
Childhood Development, Member and Community Engagement, Community Health Improvement Plans, Social Determinants of Health
Program Alignment
2. Program Alignment (Development Investments) - Include a description of your program or service and explain how it addresses Adverse Childhood Experiences and trauma in children and adults. Describe any program goals you have related to health and wellness. Describe any current CareOregon relationships within your programming or organization.
Program Alignment
3. Program Alignment (Capacity Investments) - Include a description of your program or service and explain how it addresses CareOregon's Core Focus Areas. Core Focus Areas include: Childhood development, member and community empowerment, supporting Community Health Improvement Plans, and partnerships addressing the social determinants of health.
Funds
4. Funds - Specifically, how will CareOregon funds be used to accomplish your work? You will be asked to complete a budget breakdown later in the application process. You may also include your budget as an attachment in the documents section. You only need to submit your budget once.
Benefit
5. Benefit - Describe who your program or service intends to benefit. The low-income community? Medicare and Medicaid members? Seniors? How do you know who is accessing your services and how do you select participants? CareOregon does not have specific priority populations for grant funding. Our goal is to provide broad community benefit through community-based programming that primarily serves the low-income community.
Sustainability
6. Sustainability - Identify your key financial supporters, community partners, staff members and consultants participating in this work. How do you intend to sustain your work past the grant funded period? What strategic community partners are involved? How do you engage those you serve in planning, delivering and evaluating your programming?
Outcomes
7. Outcomes - Describe the outcomes you are hoping to achieve. How will you measure your outcomes? Over what timeframe? Describe any short and long term evaluation plans.
Equity
8. Equity - Please describe your organization's commitment to improving equity within your organization and programming. Does your organization have an equity plan? Does your program seek to improve health equity? Are services intended to address specific health disparities? You will be asked to complete an optional service demographics breakdown under documents.
Budget
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Please include a complete program or organizational budget. You may choose instead to attach a budget in the documents section. You only need to include your budget once.
Funding Sources/Revenues
Item Descriptions are examples only and do not include all possible funding sources. Budget figures should reflect current fiscal year.
Item Description
Amount
Total $ 0.00
Funding Uses/Expenses
Item Descriptions are examples only and do not include all categories eligible for funding.
Item Description
Amount
Total $ 0.00
Budget Narrative (Discuss the items and amounts you entered above.)
You may include additional budget notes or narrative here or in the application question around Use of Funds. Alternatively, you can attach a program budget and narrative in the documents section.
Tables
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W9 - If selected to receive a CareOregon grant, you will be required to submit a W9. You may complete and submit the W9 now as part of your application process.
Download template: W9
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Evidence of Tax Exempt status
Required
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Cover Letter - feel free to add a Cover Letter outlining the Mission of your Organization, a brief overview of your grant request and the goals of your program, project or service.
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Organization Equity Plan - please include a copy of your organization's Equity Plan if you have one.
Supplemental Information - Organizations may submit supplemental information such as lists of community partners, letters of support, annual reports or outcomes data to a maximum of 10 pages. Supplemental information is not required.
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* ZoomGrants™ is not responsible for the content of uploaded documents.
Extra
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If you are ready to have your answers reviewed,
add an entry to the Activity Log and request a Grant maker action.
Report
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