Tri-City Healthcare District
Board of Directors
Mission and Community Outreach Committee
Grant Guidelines

Eligibility

• The requesting organization must be a not-for-profit organization.
• The request must be for a project directly benefiting the health and well being of citizens in the Tri-City Healthcare District.
• The requesting organization must be based within the Tri-City Healthcare District.
• Excluded from consideration are hospitals, hospital districts, and government entities.
• Evaluation reports on outcomes of previous Tri-City Healthcare District grants must be submitted in order to be considered for a future grant.**

Priorities: All requests must fall into one of these categories

• Improving the health and well-being of infants and children
• Enhancing the quality of life of the elderly
• Increasing access to healthcare for high-risk populations
• Improving the outcomes for the chronically mentally ill
• Providing prevention to ensure healthy and safe communities

Application Process
Applications must include the following. Incomplete applications will not be considered.

I. Grant Cover Page
    Please print and fill out the cover page.

II. Proposal Narrative that gives the following information in this order. Proposals must be no more than 5 pages utilizing a 12-point font.

1. Brief background and description of organization’s purpose, size and constituents
2. Description of the project or program to be funded, including the use of requested funds
3. Need or problem to be addressed and relevance to the priorities of the Mission and Community Outreach Committee
4. Target population, including ethnicity, age, financial status, how many will be served and where the program will take place
5. Program goals and objectives (measurable and time-specific)
6. Activities and timeline for implementation
7. Expected outcomes
8. Ways in which your program differs from other similar programs
9. Collaborative efforts
10. Evaluation plan to measure success of meeting objectives and outcomes
11. Plan to sustain program after grant period

III. Program budget
       Please print and complete the budget form.

IV. Budget Narrative See attached Instructions for completing the budget narrative

V. Organization’s annual operating budget

VI. Verification of tax exempt or non-profit status

Send one copy of the completed application and required attachments by January 12, 2007 to:

TCHD Mission and Community Outreach Committee
c/o Tri-City Hospital Foundation
4002 Vista Way
Oceanside, CA 92056

Grant requests are reviewed by the Mission and Community Outreach Committee and the Board of Directors of the Tri-City Healthcare District. Grants will be awarded by June 30, 2007.

** 2006 grantees please send evaluation reports by 12/1/06 to:
Judy Winter
Tri-City Hospital Foundation
4002 Vista Way
Oceanside, CA 92056
winterjf@tcmc.com

A technical assistance workshop will be held on:

Monday, December 11, 2006

10:30 a.m. – 11:30 a.m.

at

Tri-City Medical Center
Lower Level Assembly Rooms
4002 Vista Way
Oceanside, CA 92056

If you need assistance or have further questions, please contact Judy Winter at (760) 940-3597 or winterjf@tcmc.com

Click here to view Line-Item Budget Instructions.
Click here to download the Grant Cover Page.
Click here to download the Project Budget Form.