Re: Partnership with the Delta Health Alliance

Dear

On behalf of the Delta Health Alliance (DHA), I am delighted that you have expressed an interest in partnering with us to support focused community-based healthcare initiatives that would target critical health and wellness in the Mississippi Delta. The mission of the Delta Health Alliance is to advocate, develop and implement collaborative programs to improve the health of people who reside in the Mississippi Delta. DHA provides direct support for collaborative projects that: increase access and availability of healthcare in the Delta; conduct and apply research of health problems and issues to reduce ill health among Delta residents; or offer health education programs that encourage and enable Delta residents to adopt good health practices. In short, we believe in programs that provide healthcare access, education, and research.

The DHA works with our partners to 1) identify the most critical needs of our communities, 2) write proposals and identify funding opportunities, 3) work together to implement those initiatives, then 4) evaluate outcomes and disseminate the results. The success of the DHA stems from largely from its ability to coordinate limited resources to their best use. We will be implementing a mini-grant project that will allow us to provide financial support to more organizations. If your group has skills, services, goods, or talent that would align with our mission, we encourage you to contact Thomas Edwards, Vice President of Development, at tedwards@deltahealthalliance.org about collaboration.

If you are interested in submitting a proposal for funding consideration, please utilize the attached template. Please complete the form and return to Bernadette Parks via email at bparks@deltahealthalliance.org. You may also mail your proposal to DHA in the envelope provided. The Delta Health Alliance will maintain an open application process and proposals will be reviewed periodically throughout the year, and you will be notified of a decision within ninety (90) days. However, all funded projects will end June 30, 2011. Proposals will be accepted for innovative “grassroot” ideas which provide a direct service to the community. Preference will be given to proposals that focus on targeted initiatives that are smaller in scope than standard federal grants; proposals in excess of $30,000 will not be considered. We appreciate your interest in serving the residents of the Mississippi Delta and hope that we might partner with you to support your ideas.

Sincerely,

Thomas EdwardsVice President of Development

Delta Health AlliancePO Box 277

Stoneville, MS 38776662.686.3520

662.686.3522 (fax)

If your group is interested in submitting a proposal for funding consideration, please complete the form below and return it to Bernadette Parks at bparks@deltahealthalliance.org or via mail in the envelope provided. Your proposal will be reviewed and you will be notified of the decision within ninety (90) days. Please provide information and data for each of the topics listed below, paying special attention to citations that back up the information provided. Use local data where possible and describe the project you are proposing fully and succinctly. This application is limited to five pages, single spaced, 12 sized font.

Name of Agency/Organization and Tax Status (i.e.: for-profit, 501(c) 3, etc):

Complete Address:

Contact Name, Phone Number, and Email:

Project Lead/Principal Investigator:

Name of Proposed Project (put on each page):

Proposal

1) Background (provide a description of the issue you are addressing in the targeted community)a) What is the problem? b) What is the service area and target population that your project will be focusing on?c) Size, scope, impact that his problem has on the community. (i.e.: why is it important?)

Provide local data and compare to other counties/region/state where available.d) Who is currently addressing the problem in your targeted area/population?

2) Agency Backgrounda) Background information about applicant. State why your agency/organization is qualified to

propose the solution.b) If you are collaborating with different agencies, describe the role each partner is playing.

Community Partnership Mini Grant Template 1Funding Cycle, July 1, 2010 – June 30, 2011

3) Proposala) What is your agency’s solution to the aforementioned problem/how will you impact the

problem? (Connect the problem directly to the solution; provide evidence to support your case).

b) Is your solution modeling after another program with “proven” success? (state research to support your practice)

c) What are your general goals and objectives (make them SMART – Specific, Measureable, Achievable, Relative, and Time Oriented)?

d) What resources are currently being used to address the problem? How will your project support, enhance, or provide different services from those in existence?

e) Please complete and attach a Work Plan Matrix for your proposal. (This can be an attachment and will not count as part of the 5 pages. Please use the attached template for the Work Plan Matrix.)

4) Proposed Budget: What are your *estimated* costs?a) Personnel and Fringe (Salary for a project coordinator or project director may be included

up to 10% of the requested budget, if the person is already serving in this capacity. Grant administrator and grant evaluator are not allowable costs.)

b) Equipment (Only include items which cost over $5,000 per item.)c) Traveld) Supplies (Include equipment items under $5,000 per item)e) Otherf) Indirect costs

5) Impact/Conclusiona) How will you evaluate your project?b) What is the anticipated final impact of this project on your target service area?c) What plans do you have for sustainability beyond the funding cycle?d) Can this project be replicated in similar communities?

Community Partnership Mini Grant Template 2Funding Cycle, July 1, 2010 – June 30, 2011

WORK PLAN MATRIXProject Title

Goal One: (insert)Objective Activities Evaluative

MeasuresResponsible

PartiesTime Line

A) 1.2.3.

B) 1.2.3.

C) 1.2.3.

Goal Two: (insert) Objective Activities Evaluative

MeasuresResponsible

PartiesTime Line

A) 1.2.3.

B) 1.2.3.

C) 1.2.3.

(Repeat for additional goals)