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RFP for Small Projects Targeting Prevention of Violence and Trauma of Women and Girls

 A.Proposal Submission Deadline

Proposals must be received no later than 5:00 p.m. Mountain Time, December 7, 2011.

Please submit proposals in Microsoft Word or PDF format to owhapplication@jsi.com or mail to JSI, ATTN: Megan Hiltner, 1725 Blake Street, Suite 400, Denver, Colorado 80202.

Please DO NOT submit proposals to the U.S. Department of Health and Human Services (DHHS) Office on Women’s Health (OWH) or the Regional Offices on Women’s Health.

Please read all instructions prior to preparing and submitting your proposal.

For help with this RFP: Please e-mail: owhapplication@jsi.com or phone toll-free: 1-866-224-3815.

B.Funding Available

Funding is available for activities and events in support of Prevention of Violence and Trauma of Women and Girls (VAW) in the United States and its affiliated territories and tribal nations. The purpose of this funding announcement is to seek projects which increase awareness of violence and trauma affecting women and girls, offer prevention strategies and messages, and promote trauma-informed care to decrease violence against women and girls and promote recovery and resiliency. To learn more about violence against women visit http://www.womenshealth.gov/violence-against-women/ and http://www.ovw.usdoj.gov/.  Faith-based organizations can visit http://www.theraveproject.org/ for prevention of violence information specific to churches. For information on Women and Trauma, please see OWH’s publication Action Steps for Improving Women’s Mental Health at www.womenshealth.gov  and SAMHSA’s National Center for Trauma-Informed Care at www.samhsa.gov/nctic

Projects will be funded up to a maximum amount of $2,500.

C.Who Can Apply

OWH funding is available to eligible entities located in the 50 states, the District of Columbia, the six U.S.-Affiliated Pacific Island Jurisdictions, Puerto Rico, and the U.S. Virgin Islands.  Eligible entities may include public and private non-profit organizations, community and faith-based organizations, health professional organizations, colleges and universities, community health centers, hospitals, health departments, and tribal and urban Indian organizations.

D. Application Format - contact  owhapplication@jsi.com or phone toll-free  1-866-224-3815   for help with the application

Prevention of Violence and Trauma of Women and Girls

Cover Page – Form I

 Contact Information:

 

HHS Region:

 

Organization Name:

 

Mailing Address, City, State, Zip:

 

Executive Director:

 

Project Director:

 

Point of Contact for this Proposal :

  

Phone Number:

 

E-mail Address:

 

Fax Number:

 

Organization’s Employer Identification Number (EIN)/Tax Exempt Number:

 

**Signature of Official with Contracting Authority:

 

Print Name:

 

 ** This is the person with the legal authority to enter into a contractual obligation on behalf of the organization. For proposals submitted via e-mail, a typed electronic signature with a statement “this typed signature represents an official signature” is acceptable.

Organizational Background – Form II

1. Describe your organization’s mission, history, and services provided. Include information on your organization’s capabilities and qualifications to implement the proposed project.

2. Provide a brief description of the population and geographic area that your organization serves.

Proposed Project Description – Form III

1.  What is the proposed project name? 

 2.  What do you want to accomplish with this project? List the goal(s) and objectives for the proposed project. Please refer to the following resources to develop SMART goals, objectives, and outcome measures:

http://home.snc.edu/eliotelfner/333/numbers.html

http://webcasts.naccho.org/session-archived.php?id=1236

Also include an explanation of why you think this project will be effective.

2a. Is the proposed project based on proven activities or interventions? Will you be replicating an evidence based model? If yes, please describe. (For information on a wide range of programs and policies that have been found to be effective, please see “The Community Guide” at http://www.thecommunityguide.org/index.html.)

3. Describe the community’s need for this project. Use Quick Health Data Online statistics whenever possible (http://www.healthstatus2010.com/owh/). 

4. Describe your proposed project. How will you carry it out? Who are your partners?

5. What is the proposed project’s target population? Include women/men, race and ethnicity, rural/urban, age groups, and consumer/professional. Where is the target population located? How many people will be reached by this project?

6. In the table below, provide a timeline and identify responsibilities for all activities required to carry out this project. (Add more rows as needed.)

 

Activity

Start Date

End Date

Person Responsible

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Deliverables: What final product(s) will you submit to JSI, for example, report on proceedings; training curriculum, etc.

Project Evaluation – Form IV

1. What performance measure(s) will you use and how will you evaluate the success of your project? Performance measures should be directly related to the goals and objectives described in Form III. (Examples of evaluation methods include pre-post test to measure improved health indicators or questionnaire to measure knowledge gained as a result of this project.)

Project Budget- Form V

Educational materials purchased with this funding must be scientifically based, medically accurate, and up to date.

Examples of activities and expenses that can be funded include: training for health and social service professionals, educational sessions for the public, speaker fees or stipends for spokespersons.

 Funding will not be provided for the following:

  • capital building projects, overhead, or indirect costs
  • food and beverages
  • research, direct clinical services, lab services and testing kits
  • printing and copying over $1,000
  • promotional items (i.e. t-shirts, sunscreen, pens)
  • creation of books, DVDs, and CDs--this does not include reprinting of HHS materials
  • fundraising activities
  • purchase of equipment

 1. List the project’s entire budget, including how you will use requested funds for this project, in the table below.

 

Item Description

Cost ($)

Justification

Funding Source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total:

 

 

 

 

 2. If your budget for the requested funds includes salaries or staff time, please provide a justification below.