Sample Business Proposals HHS Federal Government Grant Proposal #2

HHS Federal Government Grant Proposal #2

00 0000 Annette Phelps Chief Bureau of Family and Community Health Department of Health 4052 Bald Cypress Way Tallahassee FL 32399 1700 Dear Ms. Phelps. Attached you will find Public Health Impact Statement for the grant proposal "Wilshire Woman to Woman Project targeted at African American community in Sheraton County Florida submitted to the Office of Minority Health Department of Health and Human Services as well as copy of the face page of the application

Sincerely Joan Stanley M.D. Ph.D Chief Medical Officer Table of Contents Certifications Project Profile

Project Summary Project Narrative Appendices Worksheet OMH Form 0920 0428 The Worksheet template is typically used only for government grant proposals that require using very specific worksheet. These required worksheets are typically forms provided by the government agency you are submitting the proposal to. There are many different agencies and also different RFPs for each agency. If you are submitting proposals to different agencies or RFPs make sure to use the forms supplied by the agency for the specific RFP you are responding to. Forms may be titled the same and appear similar between different agencies and RFPs; however there could be differences.

Make sure to get the most up to date form you are required to use from the government agency web site from which you got the original RFP instructions. Remove this instructional text and replace it all with the government agency supplied worksheet. This form is supplied by the government agency. It is to be downloaded from the government agency web site and included in your proposal. There is very little actual content you have to fill out with this form. Office of Minority Health Minority Community Health Coalition Demonstration Grant No. Key Personnel Name and Position Title Annual Salary

No. Months Budget % of Time Total Amount Requested Jessie Watkins MSPA Project Directory Vacant Project Coordinator OPS Outreach Workers Vacant OPS Outreach Workers Vacant OPS Outreach Workers Vacant Vacant Business Manager Janice Smith PhD Evaluation

Fringe Benefit See Narrative Total OMH Form Personnel OFFICE OP MINORITY HEALTH MINORITY HEALTH COALITION Grant No. KEY PERSONNEL NO. TOTAL ANNUAL MONTHS AMOUNT SALARY BUDGET TIME REQUESTED

NAME AND POSITION TITLE. ~3~ Project Director Vacant Project Coordinator OPS Outreach Worker OPS Outreach Worker OPS Outreach Worker Vacant Business Manager Evaluation Coordinator 4 TOTAL $108

Worksheet OMH Form Year Budget Narrative Budgets Staff OPS Outreach Workers 3.00 FTEs Business Manager 10% FTE Evaluation Coordinator 5% FTE TOTAL. Expenses

Fringe Benefits federal share Travel Supplies Contractual TOTAL EXPENSES. Grand Total. Worksheet OMH Form Personnel Federal Share

Key Personnel Name and Position Title Annual Salary No. Months Budget % of Time Total Amount Requested Jessie Watkins MSPA Project Directory Vacant Project Coordinator

OPS Outreach Workers Vacant OPS Outreach Workers Vacant OPS Outreach Workers Vacant Vacant Business Manager Janice Smith PhD Evaluation Fringe Benefit See Narrative

Total Budget Year Insert detailed budget for the company. You can also use the Cost Summary template at the beginning of the proposal to show just the overall costs then detail them further in the Budget. Small proposals may only use one template or the other as you see fit. Income Sources. Income source Total from this source Income source Total from this source Income source Total from this source Annual Budgets Assets Insert

Insert Insert Accounts Receivable Insert Insert Insert List all other financial income. Insert

Insert Insert TOTAL ASSETS. A. Sum A. Sum A. Sum Expenses Accounts Payable

Insert Insert Insert Taxes Payable Insert Insert Insert Line of Credit Insert Insert

Insert Accrued Payroll Insert Insert Insert List all other expenses. Insert

Insert Insert TOTAL EXPENSES. E. Sum E. Sum E. Sum

Surplus Deficit. Sum E Sum E Sum E Standard Disclaimer. The numbers represented above are to be used as an estimate. The above Budget does in no way constitute warranty of final price. Estimates are subject to change if specifications are changed cost of doing business changes or costs for outsourced services change before being locked in by binding contract. This template was not required for the final proposal submitted to the government agency so it was not filled in. It is included in the sample as an optional template the proposal writer could have added. The final proposal submitted to the agency deleted this page from the framework. Supplied Form

Assurances Non Construction Program Form The Supplied Form template is typically used only for government grant proposals that require very specific form. These required forms are typically forms provided by the government agency you are submitting the proposal to. There are many different agencies and also different RFPs for each agency. If you are submitting proposals to different agencies or RFPs make sure to use the forms supplied by the agency for the specific RFP you are responding to. Forms may be titled the same and appear similar between different agencies and RFPs; however there could be differences. Make sure to get the most up to date form you are required to use from the government agency web site from which you got the original RFP instructions. Remove this instructional text and replace it all with the government agency supplied form. This form is supplied by the government agency. It is to be downloaded from the government agency web site and included in your proposal. There is very little actual content you have to fill out with this form. Certifications Company is certified to perform the work required of this project. The following certifications have been acquired by Company from the appropriate agency. Use the Certifications template to outline the certifications you have acquired that are required for the project. Government grants frequently require certifications to be included in the proposal.

This form is supplied by the government agency. It is to be downloaded from the government agency web site and included in your proposal. There is very little actual content you have to fill out with this form. Profile OFFICE OF MINORITY HEALTH FY Community Programs to Improve Minority Health PROJECT PROFILE Applicant Organization. Institute for Health Equity Inc. Project Director. Jessie Watkins MSPA Address. North Duvall Street Tallahassee Florida Phone. 850 555 1212

Fax. 850 555 1213 Email. xxxx@mailer.fsu.edu Project Title. Wilshire Woman to Woman Project Evidence of Governing Board of applicant organization being composed of 51% or more racial ethnic minority members. Location within application. Appendix C. Memorandum of Understanding that indicates the Coalition includes at least organizations at least one health facility. Location within application. Appendix A. Healthy People focus areas addressed in project. Maternal Infant and Child Health; Access to Quality Health Services.

Project Summary Department of Health and Human Services Office of Minority Health Community Programs to Improve Minority Health Project Summary Outline Project Title. Wilshire Woman to Woman Project Applicant. Institute for Health Equity Inc. Location. Wilshire County Florida Project Director. Jessie Watkins 850 555 1212; fax. 850 555 1213

Proposed Year Budget. $149 Proposed Service Area. Wilshire County Florida Target Population. African Americans Background Describe the background information regarding the proposal. This can be your restatement of the purpose behind the grant or RFP being applied for. Show your understanding of the reason for submitting your proposal. This is typically used for grant proposal. Restate the need that has not been fulfilled. Restate the reason for the need not being fulfilled yet. For example it could be due to new federal mandate. Restate the opportunity now present for qualified applicants such as yourself and relate it to what you have to offer. Describe how your mission statement and philosophy are in line with the needs of the project. This template was not required for the final proposal submitted to the government agency so it was not filled in. It is included in the sample as an optional template the proposal writer could have added. The final proposal submitted to the agency deleted this page from the framework.

Goals and Objectives The goal of the project is to focus on African American women of childbearing age their children and their families in the following areas. Maternal Infant and Child Health Access to quality health services The overall purpose will be achieved through these objectives. Reduce racial disparity in perinatal health

Decrease poor birth outcomes experienced by African American women. Project Methods Following is description of our project methods including how the project will be developed timeline of events and reasons for why we suggest developing the project as described. There are many templates covering various aspects of project. Some responses to RFPs and grant proposals require "Project Methods" summary. You can further expand on aspects of the project methods using additional templates such as Technical Approach Time Line Installation Schedule Expected Results etc. Research. Describe existing research or studies to gather information required by the project.

How the project will be developed. Describe the details of how the project will be created and managed from start to finish. Project schedule. Describe the time line for events within the scope of the project from start to finish. Reasons for project methods. Describe your reasons for developing the project as you have proposed. You may have to justify why you have chosen your unique approach. Expected results.

Describe the results expected from the project and why your approach should achieve those results. This template was not required for the final proposal submitted to the government agency so it was not filled in. It is included in the sample as an optional template the proposal writer could have added. The final proposal submitted to the agency deleted this page from the framework. Time Line Goal. To reduce the Black White racial disparity gaps in infant mortality from 3.88 1996 98 to 2.0 low birthweight from 1.99 1996 98 to 1.5 very low birthweight from 2.7 1996 98 to 1.6 and preterm delivery from 1.67 1996 98 to 1.3 by 31 04. Intervention. Outreach and Health Education Description Start Date End Date

By 31 reduce the infant mortality rate for black infants from 16.07 to less than 11.5 per live births. The infant mortality rate for black infants will be less than 15.0 per live births Aggressive case finding outreach workers 1 01 04 By 31 reduce the singleton LBW rate from 13.7% to less than 12.2%. Less than 13.2% of singleton infants will be LBW. Health education and training. Health Education staff 1 01 04 By 13 reduce the singleton VLBW rate from 3.0% to less than 1.8%. Less than 2.6% of singleton infants will be VLBW. See detailed activities under each strategy.

By 31 reduce the singleton prematurity rate from 20% to less than 12.5% Less than 17.5% of singleton infants will be preterm. Baseline. infant deaths of 16.07% singleton births to CMBW were LBW of 3% births were VLBW and of 20% births were preterm in Source. Vital Statistics Expected Results Our analysis of CustCompany 's needs combined with our proposed solutions is expected to have the following end results. Financial Benefits Insert result #1 here Insert description of desired result here Insert result #1 here Insert description of desired result here Insert result #1 here Insert description of desired result here

Technical Benefits Insert result #1 here Insert description of desired result here Insert result #1 here Insert description of desired result here Insert result #1 here Insert description of desired result here This template was not required for the final proposal submitted to the government agency so it was not filled in. It is included in the sample as an optional template the proposal writer could have added. The final proposal submitted to the agency deleted this page from the framework. Evaluation In order to track the effectiveness of the project and to judge the outcome the following evaluation plan will be used.