Youth Tobacco Prevention Toolkit Mini Funding Application

Youth Tobacco Prevention Toolkit Mini Funding Application
The purpose of this mini funding is to provide the opportunity to schools and organizations that work with youth funds to implement tobacco control education activities, policies, and curriculums into their school, organization, and/or community.

This funding opportunity is available in three different categories that the applicant must identify in their application. Maximum funding eligibility is determined by categories selected within application.

Funding will be:
- Prioritized for those who have attended the Youth Toolkit Trainings held by South Dakota Tobacco Control Program staff.
- Provided on a first come, first serve basis.
- Funding is available on first awarded, first served basis.
- Funding will be distributed in two phases – an initial payment (50% of the total funds awarded) will be disbursed following the award notification. A second and final payment will be disbursed after the project period ends (April 30, 2025) and an invoice and receipts reflecting eligible expenses are submitted and reviewed.
- Payments will be provided by Black Hills Special Services Cooperative (BHSSC) on behalf of the SD-TCP.
Apply by emailing completed application and proposed budget to Hilary Larsen at Hilary.Larsen@state.sd.us. Applications that are incomplete or received after January 30, 2025, will not be considered for funding.

Mini funding activities, reporting forms, and success story or interview must be completed and sent in by April 30, 2025. The maximum amount overall will be $5,000 given. The minimum RFA award is $500 per applicant. The South Dakota Tobacco Control Program reserves the right to adjust funding amounts based on the discretion of the program.

For questions, please contact Hilary Larsen, Hilary.Larsen@state.sd.us 605.367.7130.

Please select which areas of funding you are applying for. Complete the application by answering the following questions related to your mini funding request. Projects must be youth focused and designed to teach youth about the dangers of tobacco use and the tobacco industry’s methods to deceive youth. The activities/events are not limited to any one type of tobacco product (cigarettes, smokeless tobacco, pipes, cigars, e-cigarettes, etc.)
Name

First NameLast Name
School Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date attended training

MonthDayYear
Date
Total Funds Requesting
Please identify how many ACTIVE members you have in your group currently. Elaborate on how your member age breakdown, involvement, methods of recruitment, and retention.
Policy (Max $3,000)
Please fully describe how what work you will be completing revolving around policies. Make sure to identify who will be participating in this work, including the name of the school administrator/school board member and their title.
Curriculum Implementation (Max $3,000)
Please fully describe how you plan to implement the curriculum(s) you will be applying for, who will be implementing, and who the curriculum will be taught to. If justification is needed for extra implementation, include within this section.
Educational Activities (Max $2,000)
Please fully describe the activities that will be completed with these funds.
School districts awarded Mini Funding will be expected to agree to the items below in order to be considered eligible for funding. Funds should be used to implement activities as stated in application. Applications may request funds for supplies for activities or displays to help educate youth. However, funds do have stipulations. Funding is available on a first come first serve basis.
Applicants must verify understanding by checking each item.

BHSSC will pay upon satisfaction that services have been completed up to $5,000 per school. Expenditure claims are required prior to the initiation of any and all payments. Expenditure claim documentation may include: invoices for reimbursement, receipts for goods and services provided, purchase orders for supplies, etc.; and/ or itemized budget details indicating how and timeframe in which the funds will be used.Ensure funds will be used for approved Mini Funding activities only and will not be used for research activities, lobbying efforts at the local, state, or federal level.Requests for any type of display or educational product that has information regarding marijuana, other substances, or specifically calls out a specific tobacco brand will not be fundable.Ensure incentive items do not exceed more than 25% of the total budget, have a tobacco prevention message, and are appropriate (Gift Cards are not allowed).Subscriptions cannot be paid for with awarded funds. This includes a purchased membership to resources like Canva. You are allowed to use FREE services.Funds are not able to purchase equipment. Equipment includes but not limited to items that are permanent fixtures, electronics, storage items. Funds can purchase supplies. Supplies include materials for educational activities.Mini Funding awardees must plan and implement mini funding activities and spend all awarded funds allocated.Requirement to keep track of attendance.Ensure funds will not be used to purchase materials or curriculum developed or promoted by the tobacco industry.Ensure funds will not be used for the purchase of food, beverages, and/or snacks.
School Representative Signature

Clear
Upload Budget

Cancelof
Upload W-9, Proof of Insurance, support letter or acknowledgement from a school administrator if a school entity.

Cancelof
Should be Empty:

Youth Tobacco Prevention Toolkit Mini Funding Application

Policy (Max $3,000)

Curriculum Implementation (Max $3,000)

Educational Activities (Max $2,000)