NASHOBA VALLEY COMMUNITY HEALTHCARE FUND
GRANT GUIDELINES AND PROCEDURES
FALL 2013 - Grant Cycle April 1, 2014 to March 30, 2015

The Community Foundation of North Central Massachusetts and the Greater Lowell Community Foundation (Community Foundations) are accepting applications for grant funding from the Nashoba Valley Community Healthcare Fund. The Fund's purpose is to advance the community health of residents in thirteen communities: Ashby, Ayer, Bolton, Dunstable, Groton, Harvard, Lancaster, Littleton, Lunenburg, Pepperell, Shirley, Townsend and Westford.

About the Grants

Grant awards will range from $5,000 up to $20,000 and should be appropriate to the scale of the project and demonstrate a wise and prudent use of funds. Priority will be given to, but not limited to, proposals pertaining to:

  • Prevention of health problems
  • Access to healthcare
  • Elder health
  • Youth and adolescent health, and
  • Mental health
  • Use of technology
  • Health care service provision

Collaboration with other organizations is encouraged. Proposals should address efforts to build capacity and include a plan for sustainability. Use of technology to magnify the capacity of the grant to reach out and effectively address needs are encouraged, as well as proposals that leverage other resources. All proposals funded must demonstrate a clear impact on the community. Application for multi-year grants will not be considered at this time.

What We Do Not Fund

Funding requests that will not be considered include loans, attempts to influence legislation, and support where the Community Foundations may become the predominant long term source of revenue. Proposals for grants that do not directly benefit the geographic service area of the Fund will not be considered. Only one submission per applicant will be considered. Funding awards are made on a year to year basis.

What We Look For

The grant review committee will review the proposed project in terms of it's:

  • Anticipated impact on the health of community residents
  • Meeting well-defined community health needs
  • Cooperation and/or collaboration among providers and residents
  • The sustainability of the project once the grant has ended
  • Promoting the use of technology
  • Outcomes/Measurement/Evaluation of Change and/or Return on Investment

Who May Apply

Public agencies and nonprofit 501(c)3 organizations, coalitions, community associations and healthcare organizations are eligible whose projects advance the community health and show a direct impact on the residents in the identified communities. Applicants that do not have a tax-exempt status under IRS 501 (c)3 must secure a commitment from a financial sponsor/fiscal agent that is a 501 (c)3 organization, to take on the fiduciary responsibilities in connection with this grant.

How to apply

There are two steps to the application process, both utilizing the Associated Grant Makers' (AGM) Common Proposal Forms. Step One is open to all applicants.

Go to www.agmconnect.org/cpf/ for all forms.

Step One - Concept Paper - Application Deadline October 25, 2013 by 1:00 p.m.

The Concept Paper (application) documents required comprise of:

  • 1. Cover Sheet - used for Concept Paper (and Final RFP, if invited) (MS WORD)
  • 2. Proposal Summary (for Concept Paper Only) (MS Word)
  • 3. Proof of Nonprofit Status, Public Agency Cert .or IRS 501(c)(3) tax determination letter
    • Please note: the completion of the Concept Paper should follow the guidelines of AGM. However, in responding to the guidelines applicants must add a third item to the Concept Paper, briefly identifying the intended outcomes that will be produced as a result of the funding.
    • Submissions can be no longer than two pages and a cover page - as outlined in the AGM guidelines.
    • Submission of applications MUST be emailed to both of the following email addresses (it is recommended to request a "Read Receipt" when emailing your documents):
    • Concept Papers will be reviewed by the Grant Review Committee and a limited number of applicants will be invited to step two - no later than November 21, 2013.

Step Two - Final Proposal Deadline December 20, 2013 ONLY for applicants invited to Step Two - the final documentation requirements comprise of the following documents found at www.agmconnect.org

For Applicants invited to Step Two, the final documentation requirements comprise of:

  • 1. Cover Sheet (MS Word) (same Cover Sheet used in Step One - AGM Form)
  • 2. Full Proposal utilizing AGM's guidelines/form (MS Word)
  • 3. Budget utilizing AGM's form (MS Excel)
  • 4. The organization's most recent financial statements as required by the Commonwealth of Massachusetts and IRS Form 990/990EZ (submit in PDF)
  • 5. Certification that your organization endorses a policy of non-discrimination - supplied if invited to Full RFP

Where to send the Final Proposals

Please email all documents to both of the following email addresses (any additional attachments should be submitted in PDF format)

  • Staff from either or both organizations may follow-up depending on the appropriateness of the Full Proposal or the need for additional information.
  • In late January, the Fund's Advisory Committee will make recommendations to the Boards of Trustees.
  • Grant notifications will be made on or around the first week of March 2014.
  • Funds awarded are restricted for use to the proposal submitted and so are required to be identified as such in the subsequent annual financial statements. A copy of the subsequent financial statement is the final reporting requirement.
  • Programmatic and financial progress reports will be required to be submitted in September 30, 2014 and March 30, 2015.

Ways to contact us

All questions regarding the concept paper or full proposal stages can be directed to either:
Kathy Heintz, Community Foundation of North Central Massachusetts at Kathy@cfncm.org or by telephone 978-345-8383 x20 OR
Susan Winship, Greater Lowell Community Foundation at susan@glcfoundation.org or by telephone 978-970-1600

APPLICATION CHECKLIST (please " X " when completed)

STEP ONE PROPOSAL COMPONENTS COMPLETED
Cover Sheet     __
Concept Paper      __
Proof of Nonprofit Status, Public Agency Certificate
or IRS 501(c)(3) tax determination letter
     __
 
STEP TWO PROPOSAL COMPONENTS
Cover Sheet      __
Full Proposal      __
Budget      __
Most Recent Financial Statements      __
IRS Form 990/990EX     __
Certification of Non Discrimination policy     __

©2009 Greater Lowell Community Foundation - 100 Merrimack Street, Suite 202, Lowell, MA 01852          Phone: 978-970-1600        Fax: 978-970-2444          National Standards