2026 NCR HCC Partner Project Funding Application

2026 NCR HCC Partner Project Funding Application - Additional Funds Available
*Awareded funds must be spent by June 30, 2026*

Instructions: The NCR HCC Grant Funding page is available for application guidance and resource documents.

You will have an opportunity to upload your project budget, W-9, and supplemental documents within this application.

All applications must be submitted by 11:59pm MT on Sunday, March 1, 2026.

Please direct any question on the application document or process to Chelsie Mazur at cmazur@ncrhcc.org.
Applicant Information
Primary Point of Contact*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Information
Project Name *
*This name may be used in public press releases
Total funding requested*
Can this project be completed and/or or can items be purchased by June 30, 2026?*

YesNo

For this round of funding, projects must be able to be completed by June 30, 2026 due to current grant requirements and timelines. Submission that do not meet this requirement are ineligible.

Please consider submitting your project during the NCR HCC FY2026-2027 funding cycle.

If you have any questions, please reach out to: cmazur@ncrhcc.org.

Thank you,

Chelsie Mazur

Project Background
Provide a brief summary of the project, including objectives, outcomes, and funding requirements. Consider the question, "What are we trying to accomplish with this request?"*
Describe how the project will address mitigation, preparedness, response, and/or recovery risks or gap areas associated with the public health and medical system.*
How and to what extent does this project contribute to your organization’s capability to effectively prepare for and respond to emergencies?*
Describe how this project supports multi-jurisdictional and/or multi-agency collaboration and coordination, if applicable.*
Describe how this project aligns with the NCR HCC Joint Risk Assessment. *
2025-2026 NCR HCC Joint Risk Assessment available on NCR HCC Member Portal and/or by emailing cmazur@ncrhcc.org or mzotara@ncrhcc.org
Describe this project's impact on communities most impacted by disaster (e.g., children, pregnant individuals, older adults, individuals with disabilities, others who may have access and functional needs in the event of an emergency, non-English speakers, etc.), if applicable.*
Please describe the sustainability plan for this project, if applicable. Please include any ongoing maintenance costs and who will cover these costs following the funding period.*
If this project is a multi-year and/or phased project that will require additional funding, please provide additional information.
Is your agency providing any funds to supplement this request?*

YesNoOther
Has this project received previous HPP grant funding within the last five (5) years?*

YesNoUnsure
If yes, please identify how much, what year, and what activities were supported.
Purchase of Equipment and/or Supplies
Does your project include the purchase of equipment and/or supplies?*

YesNo

Supplemental Questions - Purchase of Equipment or Supplies

You only need to complete this section if the proposal includes the purchasing of equipment and/or supplies
For any equipment that will be purchased, please provide specific information (e.g., brand, item name, item number, etc.) and the quantity being requested.
Is this resource deployable? *Deployable resources (and typically their operators) can be requested and mobilized when needed. Example: specialized medical equipment

YesNoOther
If applicable, please specify "other."
Is this resource shareable? *Shareable resources (often do not require operators or specialized training) can be requested and mobilized when needed.

YesNoOther
If applicable, please specify "other."
Is this resource interoperable? *Interoperability refers to the ability of the equipment to work seamlessly with other systems or products without any special effort.

YesNoOther
If applicable, please specify "other."

Additional Submission Documents
Please upload the following documents:
- Itemized project budget
- W-9 completed withing the past 12 months
- Supplemental documents, if applicable (e.g., quotes for products/services, contractor proposals, etc.)
Itemized project budget

Please upload an itemized budget for the project - template provided on NCR HCC website under "Grant Funding." Budget must be converted to a PDF to be uploaded.
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W-9

Please upload a completed W-9 for the primary organization on the application (i.e., the entity that will be submitting invoices for reimbursement).
Cancelof
Supplemental documents, if applicable

Please upload any supplemental documents related to the project (e.g., quotes for products and/or services, vendor proposals, etc.)
Cancelof
Supplemental documents, if applicable

Please upload any supplemental documents related to the project (e.g., quotes for products and/or services, vendor proposals, etc.)
Cancelof
Supplemental documents, if applicable

Please upload any supplemental documents related to the project (e.g., quotes for products and/or services, vendor proposals, etc.)
Cancelof
Completion of the information below serves as the electronic signature of the individual completing this application and attests to the accuracy of the information provided.

I, the Requester, understand that I am requesting grant funds from the North Central Region Healthcare Coalition and that such funds are restricted under the guidelines set forth by the Hospital Preparedness Program, the Governance of the North Central Region Healthcare Coalition, and Trailhead Institute (fiscal agent). I agree to provide any documentation required by the Governance Board and/or fiscal agent to authorize payment or review of the appropriateness of the request.
Name*

First NameLast Name
Title*
Date*

MonthDayYear
Date
Should be Empty:

2026 NCR HCC Partner Project Funding Application - Additional Funds Available

Applicant Information

Project Information

Project Background

Purchase of Equipment and/or Supplies

Supplemental Questions - Purchase of Equipment or Supplies

Additional Submission Documents