CHIW Mini-Grant Inquiry Form

Thank you for your interest in applying for the 2025 Community Health Improvement Workgroup Mini-Grant.

Access the Request for Proposals below to review the full description of this funding opportunity.

Please complete the requested organizational information, project description, reporting metrics, and budget (while addressing the scoring criteria). Information supplied will be kept confidential and shared only with reviewers. Complete and submit only one response per project.

$20,000 total is available for funding.
Application Deadline: Midnight on November 15, 2024.
Notice of award will be made early December.

Incomplete applications or applications submitted after the deadline will not be scored.

For questions and assistance, please contact Max Dargavel.

Attachment:Request for Proposal Mini-Grant 2025.pdf

Project Title

Requested Grant Amount

$20,000 Maximum. We may fund more than one project, so please only request the funds you need.

* must provide value

Timeframe To Accomplish (for activities included in this funding application)

No more than one (1) year in duration occuring between January 2025-December 2025.

* must provide value

Start Date

End Date

Organization Name

Organization Description

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Mailing Address

Website

Salutation	First Name	Last Name
* must provide value

Title

Phone Number

Project Description

Expand

What metrics will you report as project outcomes? Are you already measuring these metrics?

Expand

Region(s) Served

City of Rochester

Monroe County

Finger Lakes

New York State

Population(s) of Focus

How many people in your population(s) of focus will your program impact?

Grant Budget

* must provide value

Attachment:Budget Template.xlsx

Supplemental Documents

Upload file

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