Virginia State Chapter

MARCH OF DIMES

Virginia State Chapter

Community Grant Program

2011 Request for Proposals

Letter of Intent Application

GRANT SCHEDULE

Letters of Intent electronicallyJuly 30, 2010

Full Proposal InvitationsAugust 2, 2010

Grants Writing TrainingAugust 11, 2010 10 am – 12 noon

STEP and Full Proposals electronicallySeptember 15, 2010 by 4:00 PM

Original Signed Hardcopy Proposal and STEP documents must be received in the chapter office by September 15, 4:00 pm.

Notification of Awards January 2010

Project Year 2/2011 –1/2012

Check One: Original □ Renewal ( ) Progress Report □ Final Report □STEP ( )

Applicant Organization______

Project TitleCentering Pregnancy®

Address______

Contact Name______

Phone/Fax______

E-mail______

Please provide a brief synopsis of project and projected date of site approval(2 sentences are sufficient): ______

Approximately how many unduplicated individuals will be served during the grant year? ______

List the race/ethnicity of the majority of individuals served (if applicable):______

Please indicate the positive impact that the CPproject will be measure and report on:[ ] Year 1 (design, train, begin groups)[ ] Year 2 (site approval; expand groups) [ ] Year 3 (exceptional circumstances, only; specify objectives: )

Total grant amount requested:$______

Approximate cost per client $______

Check should be made out to:______

Is your agency willing to accept partial funding?[ ]Yes[ ]No

Does the budget include funds for a consultant or other subcontract? [ ]Yes[ ]No

______/___/______

Signature - Primary Staff Person DateType Name and Title

______/___/______

Signature - Executive Director DateType Name and Title

PURPOSE

The March of Dimes is a national voluntary health agency whose mission is to improve the health of babies by preventing birth defects, premature birth and infant mortality. Founded in 1938, the March of Dimes funds research, community services, education and advocacy to save babies.

Launched in 2003, the March of Dimes Prematurity Campaign is a multiyear, multimillion-dollar research, awareness and education campaign to help families have healthier babies. The campaign includes:

1. Funding research to find the causes of premature birth

2. Educating women about risk reduction strategies, including the signs and symptoms of preterm labor

3. Providing support to families affected by prematurity

4. Professional education to help health care providers learn ways to reduce the risk of early delivery

5. Expanding access to health care coverage so that more women can get early and adequate prenatal care

6. Advocating for access to insurance to improve maternity care and infant health outcomes

As part of this effort, all funds awarded through the Chapter Directed Mission Investment Programwill invest in the enhancement of care through the CenteringPregnancy® model of group prenatal care and providing or increasing risk-reduction education and/or services in conjunction with CenteringPregnancy®.

Proposals will be accepted from organizations with the capacity, competence and experience to accomplish project goals and objectives.

ELIGIBILITY

In order to be eligible to receive a March of Dimes chapter grant, an organization must be an incorporated not-for-profit 501(c)(3) or for-profit organization or government agency. The March of Dimes does not award grants to individuals.Applicants must disclose any conflict of interest due to representation by their organization on the chapter’s Program Services Committee or the State or Division Board of Directors.

FUNDING AVAILABLE

The applicant must provide services in Virginia (excluding the counties of Loudoun, Fairfax, and Prince William, and all independent cities within; and including the North Carolina counties of Camden, Chowan, Currituck, Dare, Gates, Pasquotank, and Perquimans). The chapter community grants fund for 2011 is not more than $142,000. It is anticipated that between 6-10 projects will be funded, with awards ranging from $5,000 to $30,000 each.

STEP Short Term Education

STEP grants for $3,000 or less and approved for one year. Appropriate applications for a STEP grant may include if you now offer Centering Pregnancy® and need funds for enhancement or if you need funding in order to complete Step 1 of the Model Implementation Plan. STEP applications require a cover sheet and a 1 page justification page which includes the specific need and target population, program plan description, evaluation plan description and budget categories. STEP applications do not require a letter of intent.

Requests for STEP should be submitted electronically by 4:00 PM on September 15,2010 and a signed hard copy should arrive in the chapter office by the same date.

FUNDING PRIORITY – CENTERING PREGNANCY®

Providing care using the CenteringPregnancy® model of group prenatal care. For more information, go to
Enhancing existing Centering projects by:

Providing smoking cessation education and/or services. Preference should be given to prenatal health education and information/referral services that utilize the "5 A's" counseling approach. For more information, go to
Obtaining CHI site approval.

LETTER OF INTENT FORMAT

A letter of intent must be submitted prior to a full application.. The letter is limited to the cover sheet plus 1 page in font size 11 and must address the following:

Describe your clinical setting. Please include average # of new OB patients and # of deliveries per month. Describe the administrative support, providers, and other staff that will be participating in Centering Pregnancy care..
What impact will the project have?
What is the amount of funding requested?
What are the major budget categories?
Projected date of site approval.

Letters of Intent are due electronically on or before July 30, 2010 4:00 pm to .

REVIEW AND NOTIFICATION

A multi-disciplinary committee will review the Letters of Intent. Applicants selected to submit a full proposal will be notified by August 2, 2010..If you are invited to submit a full proposal, proposals are due no later than September 15, 2010 by 4:00 pm. A signed original must be received in the office no later than Friday, September 15, 2010 by 4:00 pm. Please be advised that Letters of Intent and proposals are non-binding.

Please include a completed cover letter included in this mailing.Note: the proposal workshop on August 11, 2010 is strongly recommended to all applicants, particularly those submitting a first CP proposal.

Please Note:

March of Dimes chapter community grants do not fund scientific research projects. For information about research grants funded by the March of Dimes national office, please refer to the March of Dimes Web site at marchofdimes.com, or e-mail the Office of Research and Grants Administration at .

The March of Dimes does not fund billable health care provider services.

For a list of allowable and unallowable expenses, please contact us.

For Additional Information

Contact:

Sara Long, Director of Program Services

March of Dimes

Virginia State Chapter

10128A West Broad Street

Glen Allen, VA 23060

804-968-4120