2024-2025 MRCIL MRC-STTRONG Subaward Round 3 Application
Medical Reserve Corps units that received an award in Round 1 or Round 2 ARE eligible for Round 3 as funding allows.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Illinois MRC Unit Information
MRC Unit Name
*
MRC Unit Number
*
Legal Name of Housing Organization
*
Employer Identification Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorized Signatory Name
*
First Name
Last Name
Authorized Signatory Email
*
example@example.com
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Tier Selection
Which tier of funding is your unit applying for?
Tier 1: $5,000
Tier 2: $10,000
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Project Description
Project Title
*
Which focus area(s) does your program/activity focus on? (Choose all that apply)
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Underserved areas/populations
At-risk individuals
Health equity
Severe disaster areas
Workforce growth
Bolster public-private partnerships
Strike teams
Community resilience for indigenous tribes
Describe how your program/activity aims to address your selected focus area:
*
Please identify how this relates to each chosen focus area
What are the program/activity goals?
*
Please identify how this relates to each chosen focus area
What makes your program/activity creative?
*
Please identify how this relates to each chosen focus area
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Work Plan
How will the program/activity be carried out? List any specific steps you will take:
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Please identify how this relates to each chosen focus area
What is your program/activity timeline? (be sure to include your evaluation assessment in your timeline)
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How do you plan to sustain your program/activity in the future?
*
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Evaluation
Describe how you will obtain and report data:
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Please describe how you will measure your program/activity success and impact.
*
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Budget
Please upload your proposed budget
*
Browse Files
Drag and drop files here
Choose a file
Example budget spreadsheet on MRCILs Website at: www.mrcillinois.org
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Application Verification
I have read and understand all parts of this application
*
Please Select
Yes
No
I understand that I may apply for other funding opportunities using this project, however, the funds must be allocated for separate and distinct costs.
*
Please Select
Yes
No
I understand that this application cannot be reopened for any reason.
*
Please Select
Yes
No
If awarded, I understand that MRCIL MRCSTTRONG award funds will not be used to purchase restricted items outlined in the Request for Applications.
*
Please Select
Yes
No
If awarded, I understand that I am obligated to provide periodic program/activity updates as defined my MRCIL.
*
Please Select
Yes
No
Are you certain you are ready to submit your application?
*
Please Select
Yes
No
By typing my name below, I verify I have answered all of the application questions to the best of my ability and verify that my application is ready for submission.
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Submit
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