Vermont New Hampshire Affiliate

 

The mission of the Susan G. Komen Breast Cancer Foundation is to eradicate breast cancer as a life-threatening disease by advancing research, education, screening, and treatment. Affiliates of Susan G. Komen for the Cure represent one of the nationís largest private funding sources for breast health and breast cancer screening, education and treatment support programs.

 

The Vermont-New Hampshire Affiliate of the Susan G. Komen for the Cure, Inc. is currently offering grants for innovative projects in the areas of breast health and breast cancer education, outreach, screening, and treatment support targeting services not otherwise available to the medically underserved populations of Vermont and New Hampshire. Grants are available for up to one (1) year.

 

Important Note Applications will be accepted for any breast health or breast cancer screening, treatment, education, or support project in the listed counties. However, projects that specifically address the objectives outlined in the ìStatement of Needî below will be given priority. All requests for science research funding should be directed to the Komen Foundationís Award and Research Grant Program. More information on research funding is available at www.komen.org/grants.

 

Statement of Need:  Through a community needs assessment in 2006, the VT-NH Affiliate of Susan G. Komen for the Cure has determined that there are available experts in every field of breast cancer including research, clinical evaluation and treatment and support services and advocacy groups in our two states. Our challenge, at the Vermont- New Hampshire Affiliate is to support, educate, and diagnose women with breast cancer. The largest impediment to our mission seems to be low income and the rural nature of the region. Our grants must address these problems as we move forward in our fight against breast cancer in our Affiliate area.

 

Application deadline is January 15, 2008.

 Applications must be postmarked by this date to be accepted.

 

 

Guidelines and Instructions for Applicants The purpose of this program is to address the breast health and breast cancer screening, treatment, and education needs of Vermont and New Hampshire.

 

Qualifications:         Applications are accepted from US nonprofit institutions; US citizenship or residency is not required. Applications must be submitted in English. Applicant organizations must be providing services in either Vermont or New Hampshire.

 

Restrictions:

-      Project must be specific to breast health and/or breast cancer; e.g. if a project is a combined breast and cervical cancer project, funding may only be requested for the breast cancer portion.

-      Applicants must be a US nonprofit (federally tax-exempt) organization, e.g. nonprofit organizations, educational institutions, government agencies and Indian tribes are eligible.

-      Services must be provided in Vermont or New Hampshire.

-      Indirect costs, if applicable, should be no more than 10%.

-      Equipment costs, if applicable, may not exceed 30% of direct costs and should be used exclusively on this project.

-      Salaries, if requested, are for personnel related to this project only and not the general work of employee.

 

Review:  Applications received complete, and meeting compliance with these guidelines, will be submitted for grant review by a panel established through the local grants committee.

 

Education Materials: A variety of education materials are available from the Komen Foundation. Some items are targeted to special populations. Before requesting funds to purchase items from other sources or create new materials, please contact the VT-NH Affiliate of Susan G Komen for the Cure. We recommend that Komen materials be used in the project whenever possible.

 

Contracts:  A grant contract will be the legal mechanism for funding.

 

Grant period:  Grant period begins April 1, 2008 and will conclude on March 31, 2009

 

Payment and Reporting:  The first payment will be made no later than thirty (30) days after receipt of the fully executed contract. The first progress report is due, October 1, 2008, at the end of the first six (6) months of the contract. A final report is due, July 1, 2009 within forty-five (45) days of completion of the grant period.

 

Letters of support and additional materials:  DO NOT send additional materials (i.e. reprints, complete curriculum vitae or letters of support). These will not be reviewed.

 

 

Confirmation of receipt of application:  Confirmation of receipt of application will be mailed to the project director following review for compliance to guidelines. If immediate confirmation of receipt is requested, please include a self-addressed, stamped postcard that will be returned to you immediately upon receipt of the application. Please do not contact the VT-NH Affiliate of Susan G Komen for the Cure regarding the status of the application during the review period.

 

Announcement:  Announcement of grants awarded will be made by March 15, 2008. Project directors will be notified of the outcome of the review in writing.

 

Number of grants to be awarded:  A maximum of $300,000 is to be granted in this program. The actual number of awards will depend on the amount of funding granted per project.

 

Applications should include and be ordered as follows:

 

A.   Cover Page (Form attached)

Note:  Signature of approving institutional personnel, other than project director, required.

B.    Project Description (This section should not exceed five typewritten pages. Font size should be no smaller than a ten-point typeface.)

1.   Brief explanation of project.

2.   Statement of need/problem to be addressed.

3.   Description of constituency to be served and how they will be benefited (please indicate number of women to be served).

4.   Description of program goals and measurable objectives.

5.   Description of activities planned to accomplish these goals. Is this a new or ongoing activity of your hospital or organization?

6.   Timetable for accomplishing goals (Please note: six months reports are required).

7.   Description of other organizations or entities, if any, participating in the Program. If applicable, letters of collaboration should be included from each organization.

8.   Long term strategies for funding of the Program after initial funding.

9.   A review of comparable programs offered in this service area and an explanation of how this program is unique.

10. Definition of success for the Program and how it will be measured.

11. Use of the Program's results and how they are to be disseminated.

C.    Financial Information (Not to exceed three typewritten pages).

1. Budget for requested funds (Form attached).

2. Budget justification.

3. List of other sources of current funding for the project.

D.    Biosketch form for project director and attendant personnel listed in budget request (no more than two pages per person).

E.   Proof of non-profit status for applicant institution.

F.  Most Recent Progress Report: Previous grantees of the VT-NH Affiliate of Susan G Komen for the Cure must attach their six-month or final report for their most recent grant.

 

The director of the project must submit applications. Keep grant requests to the page limits, as stated above. Excess pages will be removed prior to review. Submit Six (6) copies of each application. Applications should be bound by staples or clips only. Please no spiral bound materials. Fax copies will not be accepted.

 

Failure to adhere to these guidelines will result in delayed processing

or refusal of the application.

 

Applications must be postmarked by january 15 2008

Affiliate VT-NH Affiliate of Susan G. Komen for the Cure

Attn: Terri Hathaway

PO Box 2496

Manchester Center, VT 05255

 

Inquiries should be addressed as above or directed to Terri Hathaway 802-867-2284(h)

Email: tmlh2284@yahoo.com.

 

(Please allow adequate time before deadline for response to any inquiry)