How to Apply for Community Grants

Thank you for your interest in the Central Florida Affiliate grants program. Our application process is open once a year and is open until midnight, January 31, 2017.

To be eligible to apply for a Komen Community-Based Grant, your organization must be:

  • A federally tax-exempt entity — nonprofit organization, government agency, educational institution or Indian tribe.
  • Located in the Komen Central Florida affiliate service area which includes Brevard, Flagler, Lake, Marion, Orange, Osceola, Seminole, Sumter, and Volusia counties.
  • Requesting funds for one or more of the Komen Central Florida priorities (listed in the application).

Please read our Grants Frequently Asked Questions Grants Frequently Asked Questions for more information.

All Requests for Application and grants reporting will now be completed in our new online grants system. The Grants e-Management System can be found here.

If you do not currently have access you will need to register. Please review the The Latest Applicant Manual.

For more information and for the application, Please view below.

Request for Applications

Community Grants 2017-2018

 

Susan G. Komen® Central Florida —along with those who generously support us with their talent, time and resources—is working to better the lives of those facing breast cancer in our community. We join hundreds of thousands breast cancer survivors and activists around the globe as part of the world’s largest and most progressive grassroots network fighting breast cancer. Through events like the Komen Central Florida Race for the Cure®, we have invested more than $6 million in local breast health and breast cancer awareness programs in nine counties. Up to 75 percent of net proceeds generated by Komen® Central Florida stay in our nine county service area. The remaining income goes to the Susan G. Komen Research Program, which supports grants and scientific partnerships to find the cures.

 

About Susan G. Komen

Susan G. Komen® is the world’s largest breast cancer organization, funding more breast cancer research than any other nonprofit while providing real-time help to those facing the disease. Since its founding in 1982, Komen has funded more than $900 million in research and provided nearly $2 billion in funding to screening, education, treatment and psychosocial support programs serving millions of people in more than 30 countries worldwide. Komen was founded by Nancy G. Brinker, who promised her sister, Susan G. Komen, that she would end the disease that claimed Suzy’s life.

 

Notice of Funding Opportunity and Statement of Need

Komen Central Florida will award community grants to local non-profit organizations that will provide breast health and breast cancer projects between April 1, 2017 to March 31, 2018.

 

 

Applicants may request funding from $5,000 up to $15,000 for this year.

 

Komen Central Florida has identified the following funding priority areas, in order of importance. Funding priorities were selected based on data from the 2015 Komen Central Florida Community Profile Report. The 2015 Community Profile will be be found on our website at komencentralflorida.org.

Priority 1: Access to Care: Programs that increase access to the entire continuum of care (e.g., screening, diagnosis and treatment) for uninsured and underinsured women who are younger than 50 years of age. Applicants should consider focusing on increasing access for Hispanic/Latina women, individuals that are homeless and individuals residing in rural areas.
The Affiliate seeks to fund programs that provide no cost or low cost breast cancer services, financial assistance with diagnosis and treatment co-pays/deductibles, transportation assistance and patient navigation.

 

Priority 2: Breast Cancer Education: Programs that provide evidence-based, culturally relevant breast cancer education that results in documented age-appropriate breast cancer action (e.g., talk to doctor about breast cancer risk and/or receive a screening mammogram) for underinsured and uninsured individuals. One-on-one and group breast cancer education programs must include Komen’s breast self-awareness messages and provide local breast cancer services.

 

Important Dates

 

Application Deadline                   January 31, 2017

Award Notification                        March 24, 2017 (on or about)

Award Period                              April 1, 2017 – March 31, 2018

 

 

Eligibility

Individuals are not eligible for funding. Grants will be awarded only to eligible organizations. Applicants must meet the following eligibility criteria to be considered for funding:

 

  • Program must be specific to breast health and/or breast cancer. If a program includes other health issues along with breast cancer, such as a breast and cervical cancer program, funding may only be requested for the breast cancer portion.

 

  • All past and current Komen-funded grants or awards to Applicant are up-to-date and in compliance with Komen requirements.
  • Applicant has documentation of current tax exempt status under the Internal Revenue Service code.
  • Applicant must be a non-profit organization located in or providing services to one or more of the following locations:
    • Orange County
    • Osceola County
    • Seminole County
    • Lake County
    • Volusia County
    • Flagler County
    • Brevard County
    • Marion County
    • Sumter County
  • If applicant, or any of its key employees, directors, officers or agents is convicted of fraud or a crime involving any other financial or administrative impropriety in the 12 months prior to the submission deadline for the application, then applicant is not eligible to apply for a grant until 12 months after the conviction. After such 12 month period, applicant must demonstrate in its application that appropriate remedial measures have been taken to ensure that any criminal misconduct does not recur.

 

Allowable Expenses

Funds may be used for the following types of expenses provided they are directly attributable to the program:

  • Clinical services or patient care costs for screening and diagnosis
  • Supplies for educational seminars
  • Genetic testing
  • Emergency financial support during treatment

 

Funds may not be used for the following purposes:

Research, defined as any project or program with the primary goal of gathering and analyzing data or information.

    • Specific examples include, but are not limited to, projects or programs designed to:
  • Education regarding breast self-exams/use of breast models
  • Development of educational materials or resources
  • Construction or renovation of facilities
  • Political campaigns or lobbying
  • General operating funds (in excess of allowable indirect costs)
  • Debt reduction
  • Fundraising (e.g. endowments, annual campaigns, capital campaigns, employee matching gifts, events)
  • Education via mass media (e.g. television, radio, newspapers, billboards)
  • Event sponsorships
  • Projects completed before the date of grant approval
  • Payments/reimbursement made directly to individuals
  • Land acquisition
  • Program-related investments/loans
  • Scholarships
  • Thermography
  • Consultant fees
  • Meeting costs
  • Salaries and fringe benefits
  • Indirect costs

 

Important Granting Policies

Please note these policies before submitting a proposal. These policies are non-negotiable.

  • No expenses may be accrued against the grant until the agreement is fully executed.
  • Any unspent funds over $1.00 must be returned to Komen Central Florida.
  • Grantee will be required to submit a minimum of one semi-annual progress report and one final report that will include, among other things, an accounting of expenditures. Additional reports may be requested.
  • At the discretion of Komen Central Florida, the grantee may request one no cost extension of no more than six months for each grant.
  • Certain insurance coverage must be demonstrated through a certificate of insurance at the execution of the grant agreement, if awarded. Grantee is required at minimum to hold:
    • Commercial general liability insurance with combined limits of not less than $1,000,000 per occurrence and $2,000,000 in the aggregate for bodily injury, including death, and property damage;

o   Workers’ compensation insurance in the amount required by the law in the state(s) in which its workers are located and employers liability insurance with limits of not less than $500,000; and

o   Excess/umbrella insurance with a limit of not less than $5,000,000.

o   In the event any transportation services are provided in connection with program, $1,000,000 combined single limit of automobile liability coverage will be required.

o   If any medical services (other than referrals) are provided or facilitated, medical malpractice coverage with combined limits of not less than $1,000,000 per occurrence and $3,000,000 in the aggregate will be required.

o   Grantees are also required to name Susan G. Komen Breast Cancer Foundation, Inc., Susan G. Komen Central Florida, its officers, employees and agents as Additional Insured on the above policies.

 

Submission Requirements

All proposals must be submitted online through the Komen Grants e-Management System (GeMS): https://affiliategrants.komen.org.

 

Applications must be received on or before January 31, 2017. No late submissions will be accepted.

 

Educational Materials and Messages

Susan G. Komen is a source of information about breast health and breast cancer for people all over the world. To reduce confusion and reinforce learning, we only fund programs that involve educational messages and materials that are consistent with those promoted by Komen, including promoting the messages of breast self-awareness– know your risk, get screened, know what is normal for you and make healthy lifestyle choices. The consistent and repeated use of the same messages will improve retention and the adoption of the actions we think are important. Please visit the following webpage before completing your application and be sure that your organization can agree to promote these messages:

 

http://ww5.komen.org/BreastCancer/BreastSelfAwareness.html.

 

Breast Self-Exam

According to studies, teaching breast self-exam (BSE) has not been shown to be effective at reducing mortality from breast cancer and therefore Komen will not fund education programs that teach or endorse the use of monthly breast self-exams or use breast models. As an evidence-based organization, engaging in activities that are not supported by scientific evidence pose a threat to Komen’s credibility as a reliable source of information on the topic of breast cancer.

 

Creation and Distribution of Educational Materials and Resources

Komen Affiliate Grantees must use/distribute only Komen-developed or Komen-approved educational resources, including messages, materials, toolkits or online content during their grant period. This is to ensure that all breast cancer messaging associated with the Komen name or brand are safe, accurate, based on evidence and consistent and to avoid expense associated with the duplication of effort to develop educational resources. If applicants/grantees intend to develop educational materials that are otherwise not provided by Komen, they must be approved by the Affiliate and Komen Headquarters prior to development.

 

Komen grantees are eligible to receive preferred pricing for Komen educational materials. Komen materials should be used and displayed whenever possible. To view our educational materials, visit www.shopkomen.com.

 

Use of Komen’s Breast Cancer Education Toolkit for Hispanic/Latina Communities and Other Resources

Susan G. Komen has developed a Breast Cancer Education Toolkit for Hispanic/Latina communities. It is designed for educators and organizations to use in order to meet the needs of these communities. Applications to this mechanism may seek funding for such implementation. Demonstrated need for educational outreach for Hispanic populations in the Affiliate service area may be key to a successful application, but is not necessary for access to the toolkit which is free online. This tool is available in both English and Spanish versions. To access the Toolkit, please visit http://komentoolkits.org/. Komen has additional educational toolkits and resources, including komen.org, that may be used in community outreach and education programs.  Check with your local Komen Affiliate for resources that may be used in programming.

 

 

Review Process

Each grant application will be reviewed by at least three independent reviewers. They will consider each of the following selection criteria:

 

Statement of Need: Does the program provide services to one or more of the target communities described in the Affiliate’s Community Profile? How closely does the program align with the funding priorities stated in the RFA?

 

Program Design: Is the program culturally competent? Is the program evidence-based? How likely is it that the objectives and activities will be achieved within the scope of the funded program? Is the program well planned? Is the budget appropriate and realistic? Does the budget justification explain in detail the reasoning and need for the costs associated with the program? If the proposed program includes collaboration with other organizations, are the roles of the partners appropriate, relevant and clearly defined?

 

Impact: Will the program have a substantial positive impact on increasing the percentage of people who enter, stay in, or progress through the continuum of care? Will the program have a substantial impact on the need described in the funding priority selected? Is the impact likely to be long-term?

 

Organization Capacity: Does the applicant organization, Project Director and his/her team have the expertise to effectively implement all aspects of the program? Is there evidence of success in delivering services to the target population? Is the organization fiscally capable of managing the grant program, including having appropriate financial controls in place? Does the applicant organization have the equipment, resources, tools, space, etc., to implement all aspects of the program? Does the organization or staff have appropriate licenses, certifications, accreditations, etc. to deliver the proposed services? Does the organization have a plan to obtain the resources (financial, personnel, partnerships, etc.) needed to sustain the program beyond the grant term (if awarded)? Are collaborations (if proposed) likely to be sustained beyond the grant term? Does the applicant organization have long-term support from organizational leadership?

 

Monitoring and Evaluation: Is there a documented plan to measure progress against the stated program goal and objectives, and the resulting outputs and outcomes?

The grant application process is competitive, whether or not an organization has received a grant in the past. Funding in subsequent years is never guaranteed.

Applicant Support: Questions should be directed to:

Sandra Baranes

321-972-5534

sbaranes@komencentralflorida.org

 

 

 

Application Instructions

 

The application will be completed and submitted via the Komen Grants e-Management System (GeMS), https://affiliategrants.komen.org. The required sections/pages in GeMS are listed in ALL CAPS and described below. For an application instruction manual, please contact Sandra Baranes, 321-972-5534 or sbaranes@komencentralflorida.org.

 

PROJECT PROFILE

This section collects basic organization and project information, including the title of the project, contact information and partner organizations.

 

Attachments for the Project Profile page (if applicable):

  • Letters of support or memoranda of understanding from proposed collaborators– To describe the nature of the collaboration and the services/expertise/personnel to be provided through the collaboration.

 

ORGANIZATION SUMMARY

This section collects detailed information regarding your organization’s history, mission, programs, staff/volunteers, budget, and social media.

 

PROJECT PRIORITIES AND ABSTRACT (limit – 1,000 characters)

This section collects important information to classify the focus of the project, the priorities to be addressed and a summary of the project (abstract). This abstract should include the target communities to be served, the need to be addressed, a description of activities, the expected number of individuals served and the expected change your program will likely bring in your community. The abstract is typically used by the Affiliate in public communications about funded projects.

 

PROJECT NARRATIVE

This section is the core piece of the application. On the Project Narrative page of the application on GeMS, please address the requests below for each section.

Statement of Need (limit- 5,000 characters)

  • Describe the population to be served.
  • Describe evidence of the risk/need within that population, using the RFA funding priorities and the 2015 Community Profile as a guide.
  • Provide population characteristics (race, ethnicity, economic status, and breast cancer statistics) specific to the target population.
  • Describe how this program aligns with Komen Central Florida’s target communities and/or RFA funding priorities.

 

Program Design (limit- 5,000 characters)

  • Explain the program’s goal and objectives, as outlined in your Project Work Plan.
  • Explain how the program will increase the percentage of people who enter, stay in, or progress through the continuum of care.
  • Explain how the program is culturally competent.
  • Explain if and how the program is evidence-based and/or uses promising practices (please cite references).
  • Describe program collaboration and the roles and responsibilities of all organizations or entities participating in the program.
  • Explain how the collaboration strengthens the program and why partnering organizations are best suited to assist in carrying out the program and accomplishing the goal and objectives set forth in this application.

 

Organization Capacity (limit- 5,000 characters)

  • Explain why the applicant organization, Project Director and staff are best-suited to lead the program and accomplish the goals and objectives set forth in this application. Please include appropriate organization or staff licenses, certifications and/or accreditations.
  • Describe evidence of success in delivering breast health/cancer services to the proposed population. If the breast health/cancer program is newly proposed, describe relevant success with other programs.
  • Describe the equipment, resources, tools, space, etc., that the applicant organization possesses or will utilize to implement all aspects of the program.
  • Describe fiscal capability to manage the delivery of the proposed goals and objectives and ensure adequate measures for internal control of grant dollars.
  • Describe the organization’s current financial state. How has your organizational budget changed over the last three years? Please explain increase or decrease.
  • Describe the plan to secure and allocate resources (financial, personnel, partnerships, etc.) to sustain the program at the conclusion of the grant period.
  • Describe the efforts you will take to communicate this program to your organizational leadership to ensure long-term support/buy-in.

 

Monitoring and Evaluation (limit- 5,000 characters)

Grantees will be required to report on the following outputs and outcomes in the progress and final reports: successes and accomplishments, challenges, lessons learned, best practice example, story from an individual that was served with the funding and number of individuals served for each objective (county, race and ethnicity, age and population group).

 

  • Describe in detail how the organization(s) will measure progress against the stated program goal and objectives.Please include any templates, logic models, or surveys as attachments in the Project Work Plan – Objectives page.
  • Describe how the organization(s) will assess how the program had an effect on the selected priority. Please include any templates, logic models, or surveys as attachments in the Project Work Plan – Objectives page.
  • Describe how the organization(s) will assess program delivery. Please include any templates, logic models, or surveys as attachments in the Project Work Plan – Objectives page.
  • Describe the monitoring and evaluation (M&E) expertise that will be available for this purpose.
  • Describe the resources available for M&E during the course of the program.Specify if these resources are requested as part of this grant, or if they are existing organizational resources.

 

 

 

PROJECT TARGET DEMOGRAPHICS

This section collects information regarding the various groups you intend to target with your program. This does not include every demographic group your program will serve but should be based on the groups on which you plan to focus your program’s attention.

 

PROJECT WORK PLAN

In the Project Work Plan component of the application on GeMS, you will be required to submit the goal and objectives:

 

  • Goals are high level statements that provide overall context for what the program is trying to achieve.
  • Objectives are specific statements that describe what the program is trying to achieve to meet the Goal. An objective should be evaluated at the end of the program to establish if it was met or not met.

 

The project goal should have at least one objective; there is no limit to the number of objectives. Please ensure that all objectives are SMART objectives:

 

Specific

Measurable

Attainable

Realistic

Time-bound

 

You will also be required to submit the timelines, the anticipated number of individuals to be served, and the evaluation method you will utilize for each objective.

 

Write your Project Work Plan with the understanding that each item must be accounted for during progress reporting. The Project Work Plan should only include a goal that will be accomplished with funds requested from Komen Central Florida. Objectives that will be funded by other means should not be reported here, but instead, can be included in your overall program description.

 

Example Work Plan

GOAL: Provide patient navigation to women with screening abnormalities in order to reduce delays in and barriers to diagnostic care.

OBJECTIVE 1: During grant period, patient navigator will contact all women with an abnormal screening within three business days to schedule follow-up appointment.

OBJECTIVE 2: By end of grant period, provide 30 uninsured/underinsured women free/reduced cost diagnostic procedures.

 

Attachments for the Project Work Plan page:

  • Monitoring and Evaluation forms, surveys, logic model, etc. – To monitor progress and determine the effectiveness of the proposed program.

 

BUDGET

Provide a detailed total program budget for the entire requested grant term. Budget sections include Key Personnel/Salaries, Consultants, Supplies, Travel, Patient Care, Sub-Contracts, Indirect and Other. For each line item in the budget, provide a brief justification for how the funds will be used and why they are programmatically necessary.

 

Attachments Needed for Key Personnel/Salaries Section:

  • Resume/Job Description – For key personnel that are currently employed by the applicant organization, provide a resume or curriculum vitae.  For new or vacant positions, provide a job description (Two page limit per individual).

 

Attachments Needed for the Project Budget Summary Section:

  • Proof of Tax Exempt Status – To document your federal tax-exempt status, attach your determination letter from the Internal Revenue Service. Evidence of state or local exemption will not be accepted. Please do not attach your Federal tax return. To request verification of your organization’s tax-determination status, visit the following page on the IRS Web site:

 

http://www.irs.gov/Charities-&-Non-Profits/EO-Operational-Requirements:-Obtaining-Copies-of-Exemption-Determination-Letter-from-IRS