Champion Excellence Grant

2018Application

Application Deadline: September 27, 2018 at 4:00 p.m.

Allen Foundation’s Champion ExcellenceGrant program solicitsprofessional development opportunityrequests that further the mission, vision, and the FOCUS values of UnityPoint Health. All opportunities must be compatible with IMPACT Allen Hospital’s purposes to:

  • Enhance the patient experience
  • Improve the atmosphere for Allen Hospital team members, physicians, or volunteers
  • Provide higher level of training and education that fosters engagement and unity

The Champion Excellence Grant program is intended to provide funds for professional development, otherwise not supported through budget, such as meals, lodging, registration costs, travel expenses etc. Funding will not include education credits that are reimbursed by Allen. Please refer to the Allen Health System policy “Education Reimbursement” for clarification.

Who is eligible to apply:

  • Team members, excluding physicians and providers, of Allen Hospital, College, Hospice, Black Hawk Grundy Mental Health, and UnityPoint Health- Waterloo clinics not associated with an affiliate hospital. (Providers have appropriate CME funding available to them on an annual basis).

Champion Excellence Grantprogram guidelines:

  • Maximum grant request is $10,000 per professional development opportunity.
  • Only one application per person/ per opportunity may be submitted.
  • Applications require Manager approval and Supervisor signatures.
  • Before submitting a request, please check with The Allen Foundation to see if your department has funds for expenditure. All grants that are awarded will be reimbursed to the individual after the professional development opportunity has taken place. All opportunities must take place after the grant application is awarded.

Champion Excellence Grant administrative guidelines:

  • Complete all sections of the application which is available at in The Allen Foundation Office.
  • Submit8stapled copies of the application (and budget quotes as needed) to the Allen Foundation. Please limit all supporting documents to three pages.
  • The Allen Foundation will notify successful applicants the week of December 3, 2018.

Contact Joyce Coil at (319) 274-6714 or or additional information.

Application Deadline: September 27, 2018 at 4:00 p.m.

Champion Excellence Grant

Application Cover Page

Is this professional development opportunity reimbursable by UnityPoint Health and budgeted through your department?

Please refer to the Allen Health System policy “Education Reimbursement” for clarification. If you have questions about this please contact Lisa Youngblut in HR at 319-235-3617

Yes

No

Title of Professional Development Opportunity
Department or Unit
Manager’s Name
Application Contact Person
Contact’s Phone Number
Contact’s E-mail
Amount Requesting
Opportunity Summary (this description will be used in publications if your grant is approved)

Signature of Department Approver:

Name and Title: Date:

Signature of Department Director:

Name and Title: Date:

ChampionExcellence Grant

Application Narrative

(Please limit this section to 3 pages.)

1. Please describe the Professional Development opportunity.
2. How will thisopportunity further the mission, vision, and FOCUS values of Allen?
3. How will this opportunity enhance the experience of those we serve?
4. How will this opportunity champion excellence and foster unity?
5. What need does this opportunity address?
6. Who will be the primary beneficiaries of this opportunity?
7.What is the primary goal?
8.How will you evaluate success?
9.Provide a detailed budget and datefor the proposed opportunity.

Thank you for your interest in the Champion Excellence Grant program!