BCPH Public Health Grant Applications
Eligibility: Must be a BCPH Essential or Elite Member for at least 6 months prior to the application opening date. Group grant seekers must have at least 2 BCPH members. Open to individuals or teams with a demonstrated commitment to public health. Visit BCPH.org/grants for full details.
Primary Email
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example@example.com
Alternative Email
*
example@example.com
Name
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First Name
Last Name
Pronouns
*
Example: She/Her/Hers
State
Postal code search
Country of Residence
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Country of Origin
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Title
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MD/DO
ScD/SD/DSc
PhD
JD
MA
MS/MPH
Other
Current position (Student/Professor/Director of Research, etc. If none, enter "N/A")
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Organizational Affiliation (If none, enter "N/A")
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Area(s) of public health/health and social justice focus (Select all that apply.):
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Health policy
Health management
Maternal and Child Health
Reproductive and sexual health
LGBTQ+ Health
Men's Health
Women's Health
Substance Use, Abuse, and Addiction
Refugee/Immigrant Health
Infectious diseases
Environmental health
Occupational health
Dental Health
Global Health
Disability
Other
Area(s) of public health/health and social justice focus (Select all that apply.):
*
I am a BCPH Essentials Member
I am a BCPH Elite Member
I do NOT have BCPH membership - disqualified from application
Project Proposal (statement of relevance to public health, objectives, methodology, expected outcomes, budget and budget narrative, PI and other relevant team member brief bios)3500 words MAX
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Why Should You Win this grant from the Boston Congress of Public Health? How do you represent the values and priorities of BCPH? (500-1000 words, max)
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Upload Team Lead CV
*
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Upload Professional Headshot (will not accept copies of driver licenses, passports)
*
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LinkedIn URL (required, as BCPH promotes professionals)
*
Other relevant links and information about the individual or team requesting grant:
Demographics
Below are some background questions that help us tailor our programming and ensure that we are meeting our mission for diverse representation and celebration of all people. However, you are not obligated to answer.
Gender: I identify as (click all that apply):
Man
Woman
Non-Binary
Trans gender
X
Other
Race: I identify as (click all that apply):
White
Black or African American
Asian
American Indian and Alaska Native
Native Hawaiian and Other Pacific Islander
Multiracial/Biracial
Other
I am /was the first person in my family to go to college.
Please Select
Yes
No
Age
Under Age 18
18-21
22-25
26-29
30-34
35-39
40-44
45-49
50-54
55-59
60+
Please verify that you are human
*
Payment
Registration Payment
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Non-Refundable Application Fee
$
35.00
Today's Date
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