Community Grants Application 2021

2021 Community Grants Application
PURPOSE

The purpose of the Alabama Nurses Foundation Community Grants is to help Alabama nurses working in the community settings to contribute to the health and welfare of the Alabama Citizens.Grant recipients are encouraged to participate in community-based projects that can impact a positive change in a current health issue.

APPLICATION DEADLINE & AWARD

The Alabama Nurses Foundation will award the Community Grants on an ongoing basis throughout the year. Up to six (6) different grants will be awarded each fiscal year, including:
- Up to four (4) grants designated for community projects outside an academia setting
- Up to two (2) grants awarded to faculty/student community projects associated with nursing school community projects.
Each Community Grant is awarded or $500. Funds may not be used for influencing legislation or to lobby government officials.

ELIGIBILITY
1. Must address a current Alabama health issue.
2. At least one grantee must be a current ASNA member.
3. Preferable to leverage resources with other community organizations and/or other 501c3 agencies.
4. Funds may not be earmarked to complete academic work.
5. Priority will be given for projects that support the ASNA Strategic Plan and/or resolutions adopted by the ASNA House of Delegates.
6. The project may be based in either a nurse’s work or volunteer setting.
For more information, contact:

Charlene Roberson, MEd, NPD-BC, RN-BC
Director of Leadership Services, ASNA
360 North Hull St.
Montgomery, AL 36104
Ph: 334-262-8321
Fx: 334-262-8578
charlenerasna@alabamanurses.org

Applicant Information
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Personal Email Address *
example@example.com
I am a member of ASNA: *

Yes No
Name of Project:
Describe the need for the project. *
Briefly describe how this project will contribute to the health and welfare of the citizens of Alabama, or how it will address the above need. *
Identify the target market and number of individuals to be served by the project. *
List names of any collaborating agencies or individuals and include letter of support using the button below. *
Upload your letter of support.

Browse Files

Cancel of
What activities are planned for this project? *
Provide a timetable including proposed dates, activities, and responsible individuals. *
How will this project be evaluated? *
Provide a budget summary. *

ANF Community Grant Agreement
If my project is funded, I agree to:
1. Use the funds as described in the grant and to return any unused funds to the Alabama Nurses Foundation.
2. Send a final budget statement and completed project information to the Alabama Nurses Foundation within 2 months of the project’s completion.
3. Acknowledge the assistance of the Alabama Nurses Foundation as appropriate as related to the project.
4. Provide a summary of the project for publication in The Alabama Nurse within 2 months of completion.
5. If my project is funded, I agree to present either a poster or oral presentation to ASNA membership at FACES or the Annual Convention.
Type your name in the box below to confirm this agreement. *
The Alabama Nurses Foundation does not discriminate on the basis of race, creed, color, national origin, religion, age, sex, handicap, disability, veteran status, marital status, sexual orientation, or any characteristic prohibited by law.
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2021 Community Grants Application

Applicant Information

ANF Community Grant Agreement