Letter of Intent

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SENTARA COMMUNITY HEALTH AND WELLNESS PARTNERSHIP

GUIDELINES & APPLICATION INFORMATION

The Sentara Community Health and Wellness Partnership is designed to improve the health status and overall well-being of our communities. Organizations that meet eligibility requirements and demonstrate an ability to make an impact on the program’s mission are invited to help us in this cause. Please refer to Sentara's Community Health Needs Assessments to learn more about our regional priorities - Community Health Needs Assessments>>

ELIGIBILITY:

Applicants must be 501(c)3 non-profit organizations or governmental agencies that provide healthcare-related services to the underserved in Sentara Healthcare’s markets.
The requested funding must support a program/project that strategically aligns with the outlined priority areas.

PRIORITY AREAS:

Priority: Affordable Housing
Sentara seeks to provide affordable housing for members of our communities by partnering with agencies who can creatively address a variety of issues in this priority area.
Priority: Skilled Careers
We are dedicated to educating and training people so that they have improved and sustainable economic opportunities, which will enhance the overall quality of life. We invite partners to apply who can provide services for such populations that include but are not limited to the Asset-Limited Income-Constrained Employed (ALICE) and veteran populations.
Priority: Food Security
Sentara is committed to improving food security in our communities through innovative programs that will increase access to and provide healthy nutritious meals. These include nutrition education programs, food banks, and pantries across both the public and private sectors.
Priority: Behavioral Health
Programs/projects that provide direct or supportive services are encouraged to apply. These include behavioral health and substance abuse treatment, medical case management, life skills training, coping skills training, and interpersonal skills development.

GRANT PROGRAM/PROJECT REQUIREMENTS:

Submit a Letter of Intent (LOI)
If the LOI is approved, an invitation to apply for a grant will be sent via email.
Submit a full grant application
• Define at least three metrics of successful program implementation.
• Include a detailed program/project budget.
• Include a sustainability plan beyond Sentara funding.
• Demonstrate community collaboration and established partners.

GRANTS EXCLUSIONS:

Political programs or events
Activities that exclusively benefit the members of sectarian or religious organizations
Organizations that discriminate by race, color, creed, gender or national origin
Individuals, including patient assistance funds

IMPORTANT DATES:

March 31 - Applications due for programs/projects beginning in July (fiscal year)
September 30** - Applications due for programs/projects beginning in January (calendar year)
**Deadline for applications extended to October 31, 2020

Please direct questions to
SentaraCares@sentara.com
(757) 455-7976

Contact Information

Organization Name

Tax ID #

First Name

Last Name

Position

Phone

Program/Project Information

Service Area of Program/Project

Metro Area

County

Amount Requested

Is this request directly related to COVID-19 Relief

YesNo

Please describe the connection to COVID-19 relief.

Max 500 characters

Intended Program Start Date

at least 30 days from today

Grant Category

Secondary Grant Category

Number of People Served Proposed

Program/Project Name

Project Total Budget

Objectives

List at least three (3) specific, measurable and quantifiable objectives of the program/project. The objective should be to increase, decrease, or maintain a specific metric from its existing value to a new value. The metric can be a number or a percentage. If the intention is to maintain, then the numbers should be the same. If it is a new objective that has not been tracked before, it should be from 0 to the intended value.

For example: [Increase] the [% percentage] of [clients with positive outcomes] from [80] to [85] (fields in brackets).

Intention

Value Type

Objective

(200 character limit)

From:

Existing value prior to grant period. If data not available, insert an educated guess.

To:

Goal value for end of grant period

Objective Notes: Describe how this objective relates to the overall project (500 character limit)

Community Need - Describe the existing need in the community for the program. Include evidence of this unmet need (e.g. local data, published statistics and/or research). (1,000 character limit):

Provide a brief description of the overall goal of your request and what the applicant organization plans to accomplish with the requested funding (1,000 character limit):

Sentara Priority - Explain how the program/project meets one of the priorities of the Sentara Community Health & Wellness Partnership Program. These priorities are explained in the guidelines. (1000 character limit):

Provide a brief description of the target population (1,000 character limit):

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