Johnson & Johnson Community Health Care Program
Application for 2008 - 2010 Funding Cycle
Deadline: October 1, 2007, 5:00 p.m. (EST) Please be sure to: - Read our Eligibility guidelines
- Use our Fax Coversheet for all facsimile transmittals
- Carefully review our Helps/Guidelines.
The following sections are required to complete your application: - Abstract (250 words or less)
- Organization Information Sheet
- Proposal Narrative (stating the goals and objectives of your grant)
- Budget Form (simply entitled "budget.xls")
- Letter of Support (from the CEO or Board Chair) to be faxed to 410-510-1974
- Collaborating or Endorsive Letters of Support to be faxed to 410-510-1974
- Collaborating (as many as needed)
- Endorsive (no more than 2) - 501(c)3 (photocopy of an IRS letter that verifies your organizaiton's tax-exempt status)
BEFORE you write your proposal, PLEASE REVIEW the following: Abstract
(250 words max.) In 250 words or less, describe the underserved community. Summarize the expected outcome objectives from this grant and describe the capacities and personnel within your organization that can achieve them. Mention whether these outcomes are an outgrowth of existing programs or new initiatives. Organization Information - 10 points
(1500 words max.) Tell Us What You Do
Please describe the following: (1) your organizational structure and available resources; (2) the community you serve; (3) how long you have been in service to the community; (4) the qualifications and demonstrated capabilities of your implementation team; and (5) your program team's past performance in working with the target population. Tell us about any awards or recognition your center has received from the community that had special meaning for the staff. Tell Us Who You Are
Include biographical paragraphs of the Principal Investigator or Program Director and other relevant personnel on the project. Please include their academic background, publications, appropriate experience in the area of your program, and relevant experience working with your target population. Note: Biographical paragraphs should be concise. Experience and publications are considered relevant if they required the use of knowledge and skills applicable to the planning and executions of the program for which you are seeking a grant. To include footnotes, simply type them all in at the end of a section once you have completed the main text (remember, they are included in your word count). Proposal Narrative (65 points total) Needs Assessment (4 points)
(500 words max.)
Tell us the extent of the problem in your community. Provide local demographic data on gender, ethnicity and household incomes. Include national data to provide a context. Discuss the health problem(s) to be addressed in this grant request. Program Goals And Objectives (8 points)
(500 words max.)
Give a realistic projection of what you hope to accomplish by listing specific aims and objectives you hope to accomplish with this grant. Program Plan - Operationalizing Your Program Goals And Objectives Into Tactics (35 points)
(2000 words max., inclusive of timeline)
List activities to carry out each program objective. Please include timeline for each activity. (You may use the attached timeline strictly as a guide.) Identify personnel responsible for each activity. Identify any vendors, partners or collaborating institutions, community groups, etc. and describe their commitment to the aims in this project. Evaluation (18 points)
(1000 words max.)
Tell us how you will know your program makes a difference. Anticipate outcome measures for each of your objectives. Describe possible ways the Johns Hopkins doctoral student might contribute to planning and conducting this evaluation. (Please refer to the Scholar’s Program link for more information.) Budget and Justification (5 points) Note: We do not support indirect costs. Total budget for your center's entire operations
Please use our attached Budget Template and name the document simply budget.xls. Provide the total dollar amount of the operating budget for your organization's operations. If funded, what percentage will this J&J-funded program be of this total? Identify the resources which are currently supporting your program's goals and objectives. If funds from these existing resources will be blended or shared with this grant, then letters of support (memoranda of understanding are acceptable) from those institutions should be included indicating their level of support to this project. Note: Both budgets are to be incorporated into one Excel document. Please download and use the attached spreadsheet as your guide. This document contains three worksheets for you to use. Please add or subtract lines as needed. (Please see the attached budget -- sample 1 -- strictly as a guide.) Proposed first year budget for aims and objectives cited in this grant request
(250 words max.)
This should include a detailed listing of budget requirement for each element in your overall plan, including personnel costs. A budget narrative is requested BUT NOT REQUIRED. Please put N/A should you choose not to submit a narrative. Proposed second year budget for aims and objectives cited in this grant request
(250 words max.)
This should include a detailed listing of budget requirement for each element in your overall plan, including personnel costs. A budget narrative is requested BUT NOT REQUIRED. Please put N/A should you choose not to submit a narrative. Sustainability
(250 words max.)
Explain how your program will continue to be funded beyond this grant. CEO Letter of Support Please click "Submit" once you have faxed us a signed letter of support from your CEO or Board Chair. All letters must be on organization’s letterhead and show original signatures. Please fax to 410-510-1974 using the attached fax coversheet. Collaborating or Endorsing Letters of Support Please click "Submit" once you have faxed us signed letters of support from your collaborating partner(s) and/or endorsing persons/institutions. (Please send no more than two endorsive letters of support.) All letters must be on organization’s letterhead and show original signatures. Please fax to 410-510-1974 using the attached fax coversheet. 501(C)3 Please click "Submit" once you have faxed us a copy of the IRS letter that verifies your organization's tax-exempt status. Review our Helps/Guidelines page for specific questions regarding this documentation. Please fax to 410-510-1974 using the attached fax coversheet. Overall Assessment (20 points) This section is for reviewer assessment only and cannot be modified by the applicant. Please Note: - This application is set to automatically log you out after 30 minutes of "inactivity," so be sure to "Submit" your work periodically.
- Applications will ONLY be accepted online, not via U.S. mail, facsimile or as an e-mail attachment.
- All letters should be addressed to:
Sierra Veale
Johnson & Johnson Community Health Care Program
Johns Hopkins Bloomberg School of Public Health
624 N. Broadway
Room 261
Baltimore, MD 21205
- Your information is neither put into our database nor considered complete until you click the "SUBMIT FINAL APPLICATION" button. This button will appear only after all boxes on the application have been checked off.
- Once you have done a final submit of your application, you should receive the message, "We have received your application. Sierra Veale will contact you within the next few days if any part of your application appears missing or incomplete. If you do not see this message, please call Sierra Veale at (443) 287-5138.
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