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									 CENTRAL AND SOUTH JERSEY AFFILIATE
   SUSAN G. KOMEN FOR THE CURE®




 GRANTS
HANDBOOK

     BREAST HEALTH AND BREAST CANCER
    EDUCATION AND SCREENING PROGRAMS




                                       -1-
                                TABLE OF CONTENTS
                 PROMISE AND HISTORY OF SUSAN G. KOMEN FOR THE CURE® 3
                       CENTRAL AND SOUTH JERSEY AFFILIATE GRANTS 4
                               PRE-APPLICATION WORKSHOPS 4
                          ELIGIBILITY AND GENERAL RESTRICTIONS 5
                       UNDERSTANDING THE GRANTMAKING PROCESS 6-7
                    GENERAL TIPS FOR PREPARING A STRONG APPLICATION 8
                       KEY POINTS ON CONTENT AND PROJECT DESIGN 9
                          PREPARING THE GRANT APPLICATION 11-18
                                   GETTING STARTED 11-12
                           PROJECT DESCRIPTION NARRATIVE 13-16
      (ABSTRACT 13; STATEMENT OF NEED 13-14; PURPOSE OF THE GRANT 15-16; EVALUATION 17-18)
                                        BUDGET 17-18
                           SUBMITTING THE GRANT APPLICATION 18
                                AFTER RECEIVING A GRANT 19
                            FREQUENTLY ASKED QUESTIONS 20--21
                         REQUEST FOR PROPOSALS 2009-2010 22-32

                                     APPENDIX        33-54

                                  COMMUNITY PROFILE 34-35
                                       GLOSSARY 36-37
                          QUARTERLY PROGRESS REPORT FORM 38-39
                          SIX-MONTHS PROGRESS REPORT FORM 40-43
                               FINAL GRANT REPORT FORM 44-47
                   REQUEST FOR GRANT CHANGE OR AMENDMENT FORM 48-49
                              SMALL GRANTS APPLICATION 50-53
                               RFP IMPLEMENTATION PLAN 54-55
ALL OF THE INFORMATION NECESSARY TO PREPARE A GRANT APPLICATION FOR THE CENTRAL AND SOUTH JERSEY
AFFILIATE OR TO MANAGE A GRANT AWARDED BY THE CENTRAL AND SOUTH JERSEY AFFILIATE IS CONTAINED IN
 THIS GRANTS HANDBOOK. PLEASE BE SURE TO REVIEW THE FULL GRANTS HANDBOOK PRIOR TO SUBMITTING A
   GRANT APPLICATION TO ENSURE THAT YOU ARE AWARE OF THE CENTRAL AND SOUTH JERSEY AFFILIATE’S
   EXPECTATIONS FOR ITS GRANTEES. PLEASE CONTACT THE GRANTS COORDINATOR WITH ANY QUESTIONS.


  WE WISH TO THANK THE GREATER DENVER AFFILIATE AND THE NORTH JERSEY AFFILIATE FOR
        SHARING, SO GRACIOUSLY, THEIR GRANT INFORMATION, FORMAT AND EXPERTISE.



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 THANK YOU FOR YOUR INTEREST IN APPLYING FOR A GRANT FROM THE CENTRAL AND SOUTH
JERSEY AFFILIATE OF SUSAN G. KOMEN FOR THE CURE®. OUR GRANTEES ARE OUR PARTNERS
  IN ACHIEVING OUR PROMISE, AND WE LOOK FORWARD TO THE OPPORTUNITY TO WORK WITH

                                       YOUR ORGANIZATION.

________________________________________________________________

                                             PROMISE
________________________________________________________________

The Central and South Jersey Affiliate was founded in 2005 to carry out the promise of Susan G.
Komen for the Cure® to save lives and end breast cancer forever by empowering people, ensuring
quality care for all, and energizing science to find the cures. The Central and South Jersey
Affiliate’s commitment is to increase screening mammograms in order to save lives through early
detection.
________________________________________________________________

                                              HISTORY
________________________________________________________________

Locally, the Central and South Jersey Affiliate in Lawrenceville, New Jersey, brought the Komen
Race for the Cure to New Jersey in 1994. To further the Komen Promise and to make a difference
in the central and southern portion of the state, the Affiliate was established in 2005.


Everyday, our Staff and over 700 Volunteers fulfill the Komen Promise by delivering life-saving
messages of early detection and screening. Throughout our service area in the counties of:
Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Hunterdon, Mercer,
Middlesex, Monmouth, Ocean, Salem and Somerset, the Komen message resonates loudly and
clearly from our grantees.


Nationally, Susan G. Komen for the Cure was founded in 1982 by Nancy Brinker to honor the
memory of her sister, Susan G. Komen, who died of breast cancer at the age of 36. Twenty-six
years later, the Komen organization has become the global leader in the fight against breast
cancer through its support of innovative research and community-based programs.
________________________________________________________________



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                            KEY POINTS ABOUT OUR GRANTMAKING…
________________________________________________________________


   -   The Central and South Jersey Affiliate is like any other funding organization in that we
       make grants to not-for-profits through a defined process.

   -   The Central and South Jersey Affiliate is not an endowed funding organization. This
       means that our giving can fluctuate more from year to year.

   -   The funding we raised during our 2008-2009 fiscal year will be used to fund grants for our
       2009-2010 fiscal year.

   -   The Central and South Jersey Affiliate funds in only one program area – breast health and
       breast cancer-related projects for the medically underserved.

________________________________________________________________

             TYPES OF GRANTS OFFERED BY CENTRAL AND SOUTH JERSEY AFFILIATE
________________________________________________________________

We offer one-year grants for community-based projects in our service area that provide outreach
and education and screening services for the medically underserved. Central and South Jersey
Affiliate will consider both emerging and established projects for funding.

We offer Small Grants throughout the year for requests up to $3,000. Small Grants are available
for one-time projects and unexpected needs. An organization can apply for a Small Grant by
filling out the application available in the Appendix of this Handbook. For a downloadable copy
of the Small Grant Application, please visit our website at www.komencsnj.org.

________________________________________________________________

                           MANDATORY PRE-APPLICATION WORKSHOPS
________________________________________________________________

Each applicant must send at least one representative to our Using What Works training sessions
before applying for a grant from the Central and South Jersey Affiliate.
For this grants cycle, the Webinar will be from 10 am to Noon on September 8, 2008 and repeated
from 2-4 pm on Tuesday, September 9, 2008. Participants must pre-register for these sessions
which are conducted by NCI-CIS.

Hands-on seminars will augment the Webinars and will be conducted on Thursday, September
11, 2008 and Friday, September 12, 2008 in the Conference Room of the Medical Society of New
Jersey, 2 Princess Road, Lawrenceville, New Jersey.

Central and South Jersey Affiliate promotes evidence-based and evidence-informed programming
which is the focus of Using What Works.
________________________________________________________________

                            ELIGIBILITY AND GENERAL RESTRICTIONS



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________________________________________________________________

Service Area

Our 13-county service area includes the following counties in central and southern New Jersey
and all projects funded must be performed in one or more of these counties:

               Atlantic                  Gloucester                    Monmouth
               Burlington                Hunterdon                     Ocean
               Camden                    Mercer                        Salem
               Cape May                  Middlesex                     Somerset
               Cumberland


Qualifying Organizations
Any nonprofit, federally tax-exempt 501(c)(3) organization may apply for a grant from the Central
and South Jersey Affiliate, assuming that the applicant meets all other requirements as stated in
the application guidelines.

Eligible organizations include nonprofit organizations, nonprofit hospitals and hospital systems,
nonprofit educational institutions, government entities, grassroots or faith-based groups and
other nonprofits dedicated to providing breast health and breast cancer education and screening
projects.


General Restrictions

   o   Project must focus specifically on breast health and/or breast cancer.
   o   Restrictions for salary support, equipment costs, and infrastructure costs, among others,
       vary among grant types. Be sure to carefully read the “Restrictions” section in the
       Request for Proposal (RFP).
   o   Central and South Jersey funds community-based grants for a one-year period. This
       period coincides with its fiscal year which is April 1, 2009 to March 31, 2010.
   o   Central and South Jersey Affiliate does not fund individuals or for-profit entities.
       No exceptions!
________________________________________________________________

                                        IMPORTANT NOTE

The Central and South Jersey Affiliate’s application process is rigorous and competitive. No
applicant is ever guaranteed funding. Organizations should not expect to receive continuing
funding from the Central and South Jersey Affiliate from year to year.
________________________________________________________________

________________________________________________________________



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                          UNDERSTANDING THE GRANTMAKING PROCESS
________________________________________________________________


The Central and South Jersey Affiliate’s grantmaking process is competitive and rigorous. It is
important for grant applicants to understand the grantmaking process, as understanding the
process will most likely help your organization to develop a stronger grant proposal.



First a few important terms:

Community Profile: The Community Profile provides the Central and South Jersey Affiliate with
a comprehensive assessment of its service region’s breast health programs and service needs. It
is a key data source for establishing community intervention priorities and policies, and provides
guidelines for creating future programs and projects.

NOTE: For the 2009-2010 grants cycle, Central and South Jersey Affiliate will fund projects
within our service area that provide breast health and breast cancer-related education and
screening programs that target the medically underserved.


Community Review Panel: The Community Review Panel is an independent panel whose
members are invited by Central and South Jersey Affiliate to review all incoming grant
applications. It is comprised of health care professionals, breast cancer survivors, educators,
advocates, community members, representatives from other nonprofits, and other types of
professionals who volunteer their time to serve as grant reviewers.

Each Community Review Panel member is required to sign a confidentiality agreement and to
disclose all potential conflicts of interest. Any panel member who reports a conflict of interest
will not be involved in reviewing, discussing, or voting on approval of the application(s) from the
organization(s) with whom the conflict(s) exists.

Approved Grants versus Funded Grants: The Community Review Panel scores grant
applications which are then presented to the Affiliate’s Board of Directors for final decisions on
funding. “Approved” simply means that the Community Review Panel has voted to recommend
the grant for funding. It DOES NOT mean that the grant will be funded. “Funded” means that
the grant has been ‘approved’ by the review panel and voted on for funding by the Central and
South Jersey Affiliate’s Board of Directors. It is important to note that some ‘approved’
applications are not ‘funded’ because the Central and South Jersey Affiliate has limited funding
available.




________________________________________________________________




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     BRIEF OVERVIEW OF CENTRAL AND SOUTH JERSEY AFFILIATE’S GRANTMAKING PROCESS
________________________________________________________________


   FOR THE 2009-2010 GRANT CYCLE, THE CENTRAL AND SOUTH JERSEY AFFILIATE WILL ACCEPT
  GRANT APPLICATIONS FOR PROJECTS PROVIDING BREAST HEALTH AND BREAST CANCER-RELATED
   SERVICES TO THE MEDICALLY UNDERSERVED. OUR COMMITMENT IS TO INCREASE SCREENING
              MAMMOGRAMS IN ORDER TO SAVE LIVES THROUGH EARLY DETECTION.
APPLICATIONS MUST BE POSTMARKED BY AND RECEIVED BY EMAIL IN THE AFFILIATE OFFICE BY 5:00
                                PM ON DECEMBER 5, 2008.



Compliance Review: After an application is received, the Grants Coordinator reviews it to verify
that it is in compliance with the published grant guidelines and that the governance,
management, and financial position of the applicant organization are solid.


Community Review Panel: Applications that are in compliance are then forwarded to members of
the independent Community Review Panel for scoring. After the review period, the Grants
Coordinator receives all individual scores from the Community Review Panel members and
prepares spreadsheets and wall charts detailing vital program information and reviewer scores.


Allocation of Funding: The Community Review Panel convenes for one session to discuss and to
approve proposals for funding. At the session’s end, the Grants Chair receives a slate of grants to
present at the next Board of Directors meeting. It is our Board who decides whether the slate is
approved or rejected after a preview of each application’s abstract and budget forms.


Post Award Process: After the Board has approved the slate of grants, each funded organization
is mailed a grant contract to sign. After the contract is signed, and both parties have copies, the
Central and South Jersey Affiliate issues the first check, representing the first half of the total
award. Each grantee receives the second payment after the six-month progress report is
reviewed as satisfactory.

Central and South Jersey Affiliate requires quarterly progress reports from its grantees. If a
program is not performing as proposed, a Corrective Action Plan may be required of the grantee.
Grantees may receive at least one site visit during the grants cycle.

________________________________________________________________

 Note: It is important to emphasize that compliance with all requirements is imperative. Non-
  compliance can jeopardize current grants and negatively affect eligibility for future funding.

________________________________________________________________
________________________________________________________________

                      GENERAL TIPS FOR PREPARING A STRONG APPLICATION
________________________________________________________________



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Respect the Central and South Jersey Affiliate’s Community Review Panel’s time! A variety of
community members are invited to independently review and score all grant applications. Each
reviews between 10 to 15 applications, so clarity of thought and presentation are appreciated.


Submit a complete application. Applications that are out of compliance with the
grant guidelines will be removed from consideration.


Follow the grant guidelines closely. They are very specific. All of the information that we request
is necessary for reviewing each application. It is also very important that applicants follow page
limits, word limits, and formatting guidelines. Applications that do not comply with these
requirements will be removed from consideration, depending on the level of noncompliance.


Assume the Community Review Panel is not familiar with your organization although they are
active, well-informed members of our community. Clearly explain the elements of your project,
define acronyms and avoid using jargon.


Do not include extra information with your application. We have requested all of the information
that we need to make our funding decisions. Extra information will be discarded immediately.


Remember that funding is never guaranteed. The Central and South Jersey Affiliate makes its
funding decisions to address the most urgent needs within our service area and will most likely
receive requests for funding that exceed the amount of funds available. Therefore, it is possible
that some worthy projects will not be funded during this funding cycle. Understanding this
ahead of time is very important.




________________________________________________________________

                         KEY POINTS ON CONTENT AND PROJECT DESIGN
________________________________________________________________


Key Point #1: Appropriate project, appropriate request
Make sure your proposal targets the medically underserved and is focused exclusively on breast
health and breast cancer. Be sure the size of the request matches the size of the project.



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Key Point #2: Expertise
Be sure that your proposal conveys expertise and an understanding of the environment where
your program will operate. Conduct research to validate the demographics of your target
populations and their communities.


Key Point #3: Convey your organizational success
Use your application to share your organization’s relevant success.

Example:      Your organization has just received a prestigious, multiple-year grant
              to address health disparities in your community. Highlighting this award
              in your application can help establish credibility for your grant request.


Key Point #4: Strong Budget
Budgets are important! Make sure your math is correct! We calculate per client costs before
reading the application. While many of the services nonprofits provide are justifiably expensive,
your application needs to explain and justify its budget.

Example:      Using the budget justification section to your advantage could help
              save your application if items in the budget seem questionable.

In the past two years, we have funded grants that ranged from $5,000 to $85,000. During that
time, the Central and South Jersey Affiliate invested more than $2 million dollars in community-
based programs throughout our service area. Sixty-six percent (66%) of the programs funded
received $30,000 or less. Twenty-four percent (24%) received awards between $30,000 and
$50,000, while ten percent received awards above $50,000.


Key Point #5: Evaluations and Measurable Outcomes
Evaluate your program from its beginning. Establish a baseline so you can record your progress.
In fact, performance measurement is the ongoing monitoring and reporting of program
accomplishments, particularly progress towards pre-established goals. Performance evaluations
are customized and consist of the tools that tell whether, and in what important ways, a program
works well or poorly, and why. For every objective you create, you must also create a
performance metric to determine if you are on track at specified intervals, such as at quarterly
progress report times. If an objective is written well and includes all the components of SMART
objectives, it may often be restated as the performance metric.


Outcomes are benefits or changes for individuals or populations during or after participation in
program interventions. Outcomes may relate to behavior, skills, knowledge, attitude, values,
condition, or other attributes. In fact, outcomes are what participants know, think, do, or how
they behave or what their condition is that is different following the intervention program.
Outcomes have no value to program developers unless they can be measured.

Different kinds of outcomes – program outcomes, learning outcomes and action or behavioral
outcomes – may result from the programs that we fund. Measurable outcomes from an education
program may use pre and post tests. Measurable outcomes from screening initiatives involve


                                                                                                   -9-
getting a mammogram and having documentation to prove the screening took place at the
designated facility and at the scheduled time.

Measurable outcomes must be a component of the program you propose for funding. We want to
ensure to our sponsors, donors, volunteers, and the communities that we serve that the programs
we fund are making a difference in their respective areas.



Key Point #6: Using Evidence to Support Your Program Choices
We want to fund effective programs; programs that we believe have a good chance of making a
true difference in the communities they serve. Therefore, we expect programs submitted to our
RFP process to be based on evidence. We realize that there are not enough R-TIPS (Research
Tested Intervention Programs), but we expect you to do the research on evidence-based and
evidence-informed programs that could work in your community. If there is not a fit, explain
why, and provide a justified alternative.




________________________________________________________________

                             PREPARING THE GRANT APPLICATION
________________________________________________________________

Getting Started…

Download all materials needed beginning with the 2009-10 RFP from our website,
www.komencsnj.org/grants. Make sure you have Grant Guidelines, cover sheet, abstract, budget
and biographical forms, and the Implementation Plan to prepare your RFP.




                                                                                            - 10 -
Review the information about the Central and South Jersey Affiliate grantmaking process prior
to preparing an application. We have tried to include all of the information you will need to
prepare an application in this handbook and on our website. Please make sure you have
reviewed this handbook and the information on our website before calling or emailing our
Affiliate office. If you do have a question that is not answered in these materials, please allow a
reasonable amount of time to get an answer from our office.

Remember, we emphasize evidence-based and evidence-informed programming and require your
attendance at training emphasizing these scientific techniques conducted by our partners, NCI-
CIS.

We also expect grantees to use the Central and South Jersey Affiliate’s Reach Out for Life:
Somebody Needs You screening initiative in executing their programs.

Our RFP consists of the following pages:
    Cover Page

    Abstract

    PROJECT DESCRIPTION W/SMART OBJECTIVES + EVALUATION

    Budget + Attached Budget Justification

    Biographical Information

    Proof of Nonprofit Status

    Most Recent Progress Report (if former grantee)

    Komen Funding History

    Implementation Plan

________________________________________________________________

Note: Please remember that all RFPs need to be submitted exactly as described in these
Guidelines. Not following the Guidelines is considered noncompliant and can result in the
rejection of an application.
________________________________________________________________

Concept Development

The first step in developing your grant application is to develop a concept for your project.
Consider the Community Profile for your area. Look at statistics from the NJ Department of
Health and Human Services as well as the Affiliate’s Executive Summary from its Community
Profile. Evidence-based and evidence-informed programming require a knowledge of comparable
community programs. While many applicants will already have defined breast health and/or
breast cancer projects, new and emerging projects are encouraged and will be considered for
funding.




                                                                                                 - 11 -
    Consider the following websites when searching for evidence to support your programs:

      Cancer Control P.L.A.N.E.T. http://cancercontrolplanet.cancer.gov/

      The Community Guide http://www.thecommunity.guide.org/cancer/default.htm

Some important questions to ask when developing the concept include:

    How does this project fit with the promise and initiatives of the Komen organization?

    What does your organization want to accomplish through this project? Is this in line with
     community needs?

    Does your organization have the capacity to implement and manage this project?

    Is there evidence to support your project concept?

    Is this project unique in your community or does it duplicate other programs? If your
     project is not unique or it duplicates other programs, please explain why this project is
     still needed within your community.

    Should your organization include partners? (Central and South Jersey Affiliate strongly
     encourages collaboration among community partners.)

    Does the project fit with your organization’s mission?


Cover Page - Starting to Prepare the Application

    You must use the form provided which can be downloaded from our website:
     www.komencsnj.org.

    Your project title will appear on all of our public materials advertising the projects we
     fund. Therefore, please choose a project title that is descriptive, yet concise.

    Someone other than the project director must also sign the application.

________________________________________________________________

                                         IMPORTANT!!
FOR ALL PARTS OF THE PROJECT DESCRIPTION, EXCEPT THE 1)ABSTRACT, PLEASE ATTACH SEPARATE
 WORD DOCUMENTS FOR 2)STATEMENT OF NEED, 3)PURPOSE OF THE GRANT; AND 4)EVALUATION.
DO NOT EXCEED FOUR (4) PAGES FOR ALL SECTIONS COMBINED WHICH MUST BE PRESENTED WITH A
                           12-POINT FONT AND MAY BE SINGLE-SPACED.
_______________________________________________________________


                  PROJECT DESCRIPTION HAS FOUR (4) SECTIONS


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          1)Abstract; 2)Statement of Need; 3)Purpose of the Grant; 4)Evaluation


1. Abstract – The First Impression

The abstract is an important component of your Central and South Jersey Affiliate application.
Although the Abstract is the first part of the Project Description, it has a separate form because
of its various uses to the Affiliate and to Komen Headquarters.
A good abstract states the need to be addressed and how it will be managed in lay terms and in
200 words or less. For funded projects, the abstract is used for the following purposes:

    Our Board of Directors uses the abstract to make funding decisions.

    We publish it in our Grant Recipients Directory, which is available to the community.

    Your abstract goes to Komen Headquarters for sharing with other Affiliates.
________________________________________________________________

Note: It is essential to develop a succinct and pertinent abstract. Specifically, your abstract
should include a short description of your project, the service(s) you plan to provide, your target
population(s), your geographic focus, and any other relevant information that reflects the
importance of your project.
_______________________________________________________________


2. Statement of Need – ‘Heart’ of the Application

This section is where you capture the essence of your project, drawing from several resources.

Use of statistics: The Community Review Panel and Grants Coordinator are aware of current
breast cancer statistics. Therefore, do not use precious space in your Statement of Need telling
readers that 1 in 8 women will be diagnosed with breast cancer within her lifetime or that over
40,000 people are expected to die during 2009-2010, However, the use of local statistics or
statistics gathered by your organization can help substantiate the need for your project, and
therefore, are important to include when relevant.

Use of evidence: Evidence-based and evidence-informed programming require research skills
because you are looking for evidence to prove that programs similar to yours have been conducted
successfully in other locales.

       To ensure you have these skills, Central and South Jersey conducted seminars in early
       September 2008 for the third year in a row. Training in this mode will continue next year
       for the next grants cycle. For more information, call 609-896-1201 or email:
       shornbeck@komencsnj.org.

Answer all questions: If a question does not apply to your organization, please state ‘not
applicable.’ Not answering a question will be a red flag.

Keep in mind the following words: Brevity, clarity, honesty, understandable, consistent and
SMART: Specific, Measurable, Achievable, Realistic, Timebound.



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Discuss the big picture: When preparing the Statement of Need, help the grant reviewers
understand where this project fits within your organization and within your larger community.
Does your organization receive funding from another Komen Affiliate or Komen National? If yes,
mention this fact in your application. It will help define the ‘big picture’ for reviewers.

________________________________________________________________

                TIPS FOR COMPLETING THE SECTIONS OF THE STATEMENT OF NEED
________________________________________________________________

Discussing the Need(s) that the Project will address: When answering the question about the
needs or problems that your project will address, your application should demonstrate that your
organization has a broad understanding of the situation, and should present specific evidence to
support your organization’s view of the need/problem and how it will be addressed. This section
is a good place to use local statistics or those gathered by your organization to substantiate the
need for your project.


Defining the Project’s Constituency: The Community Review Panel is instructed to score
applications on the project’s targeted constituency. In a general sense, medically underserved
refers to people who are uninsured, underinsured, lack access to medical care, or are at-risk.
However, the Central and South Jersey Affiliate has chosen to leave the term ‘medically
underserved’ undefined because different communities will need to define the term in different
ways according to the needs within that specific community.


When preparing the application, be sure to specifically define your project’s target constituency
and include relevant numbers and statistics where appropriate.
________________________________________________________________

                                        One more time…
  Your project must serve the medically underserved, be based on evidence, and focus on breast
                            health and on breast cancer exclusively.
________________________________________________________________

3. Purpose of the Grant – How You Will Do It!

This section explains how the Statement of Need will be addressed. It demonstrates how the
needs and gaps of the target population will be met and how the target population will benefit
from the proposed program.

This section is where the goals and objectives are presented. Because of their importance to the
development of a project, they will be stressed here.



                                                                                                     - 14 -
________________________________________________________________

                              DEVELOPING GOALS AND OBJECTIVES
________________________________________________________________

Because the Central and South Jersey Affiliate is committed to measuring the impact of its
funding, it emphasizes evidence-based and evidence-informed programming so that your
organization accurately measures program performance and determines viable outcomes.

During the Grants Review process, we place emphasis on a project’s goals and objectives. Thus,
we encourage all grant applicants to spend time developing solid goals and objectives for their
projects.

We encourage applicants to focus their thinking and choose a few key goals and objectives. This
approach helps you, and subsequently the grant reviewer, to understand your project instead of
being confused by unnecessary complexity.

Remember…

       Goals are the overall aims or changes that you are going to target.

       Objectives are the steps you are going to take to reach your goals.


Goals and objectives should be clear, concise and well thought-out. Goals and objectives should
be focused for the grant period. Goals and objectives should be narrow, not broad, to ensure their
measurement. Therefore, Central and South Jersey Affiliate expects applicants to use SMART
Objectives.

             Objectives that are SMART are Specific.
             Objectives that are SMART are Measurable.
             Objectives that are SMART are Achievable.
             Objectives that are SMART are Realistic.
             Objectives that are SMART are Timebound.

       Example: Not SMART:         Participants will be aware of the major risk factors for
                                   developing breast cancer.

       Example: SMART:             Upon posttesting following an educational intervention,
                                   participants will be able to identify 3 major risk factors for
                                   developing breast cancer.

       Example: Not SMART:  Individuals who take our breast health class will get a
                        mammogram.

       Example: SMART:             Three months after taking our breast health class, at least 3
                                   of 30 participants will have completed a mammogram.

Difference between Objectives and Outcomes…



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       Objectives are how the goal will be obtained for the project (the steps).

       Outcomes are the actual results of a project.


Discussing Comparable Projects

When developing this section of your application, it is very important to include an honest
assessment of similar programs within Central and South Jersey Affiliate’s service area. Central
and South Jersey Affiliate strongly discourages duplication but strongly encourages collaboration.
In fact, this knowledge is an important part of evidence-based/evidence-informed programming.
Knowledge of what others are doing is crucial to fill the gaps that exist within a community.

Ideally, Central and South Jersey Affiliate would prefer not to fund duplicative services, but we
realize that some duplication will exist. When duplication does exist between your project and
others, honestly discussing the duplication and how your project is unique will help the Central
and South Jersey Affiliate to evaluate your application fairly. Exploring ways to collaborate
would also be a great strategy to overcome this barrier.

If your organization does not identify and discuss other similar projects, the Community Review
Panel may conclude that your organization is not aware that other projects exist. As a result of
not knowing your landscape, your organization may not be the best one to receive a grant from
their perspective.

Do not omit this section of the application. An honest appraisal of the environment where your
project will flourish can strengthen an average application and make it distinctive.


Sustaining Project Funding

At the present time, Central and South Jersey Affiliate funds breast health and breast cancer-
related projects for one (1) year at a time. There is no guarantee that funding will be available or
that your organization will be selected by the Community Review Panel for future funding.

Sometimes a project may make a considerable impact on its community and would continue to
thrive if funds were available to continue the program. For this reason, project directors should
always be looking for additional funding – not duplicative funding – but funding that could
sustain the program if Komen funds were no longer available. Our job in the community is to
grow successful programs not just sustain them.

Long-term sources and/or strategies for funding of the project after the grant period is over give
added value to the project’s proposal. Moreover, funded programs should strive for self
sufficiency within three years and then sprout other projects that could be supported. This
strategy impacts the cancer burden and your place in addressing it.


4. Evaluation – Shows the Return on Investment

This section of the grant application is the final part that is submitted with the 4-page narrative
called Project Description. It may be the most important of the four sections. The Evaluation


                                                                                                 - 16 -
clearly reveals how well the Project Director understands the program proposed. If the program
cannot be evaluated, it cannot be executed. Thus, clues to a program’s viability are often
overlooked until the day of reckoning when the evaluation is performed.

Evaluate from the beginning by establishing a baseline from which to record your progress.
Evaluation states the expected results during the funding period. Evaluation includes the
definition of success for the project and how this definition determines how to measure the
project’s success.

As mentioned above, evaluation methodology is built in at the front of the application not at the
back. An idea that cannot be evaluated must be abandoned. Follow this flow: after the idea
comes the strategy, after the strategy comes the cost, after the cost comes the impact, and after
the impact comes the outcome. Considered separately and altogether – idea, strategy, cost,
impact, outcome – equals evaluation.

Evaluation is whether the idea was sound; Evaluation is whether the strategy was the right
approach; Evaluation is whether the cost was high, low, or just right; Evaluation is what the
impact was on the community; Evaluation is how the outcome changed the community.

Evaluation includes how the project’s results will be used and disseminated to various
constituencies. If the outcome changed a community which is a significant result, we can help to
get those results to a larger audience like the media.


Preparing a Budget – Use form provided

The budget is one of the key pieces of the RFP. When preparing the budget form, it is very
important to make sure that the line items are very clearly explained, both on the budget form
and on the budget justification attachment. Also, be sure to place a budget line item under the
logical subheading – not doing so only confuses the reviewers. It is also very important to know
what the Affiliate allows as budget items.

Central and South Jersey Affiliate expects applicants to honor the RFP “Restrictions.”


   Restrictions:
    Salaries for personnel related to this project should be provided by the organization
      requesting funding unless the individual is instrumental to the project’s success, i.e., an
      added non-English speaking patient navigator or outreach worker.
    Indirect costs are not allowed for this grant application.
    Operational costs (i.e., rent, utilities, equipment payments) and costs for doing business
      (i.e., fax machines, computers, projectors, paper, postage, etc.) are not allowed unless the
      applicant proves sole dedication of these items to this project.
    Mammography charges are capped at the current Medicare reimbursement rates
      including films and interpretations.

When preparing your budget, it is important to remember that your organization will be expected
to spend the funding in accordance with the budget if the grant is awarded. Spend the time
necessary to develop a clear, strong, and realistic budget for your project. Failure to spend funds
during the time allotted results in refunds to the Affiliate.



                                                                                                - 17 -
Budget Justification – No form

Including a well-written budget justification will help minimize questions about your
organization’s funding request and can lead to a higher score from a reviewer.

No form exists for a budget justification as each is unique. However, there are general guidelines
for preparing this document. Do not include more than three (3) single-spaced typewritten pages
for this section. Make sure the items being justified line up in priority order as they do on the
Budget form request. Items out of order make the reviewer’s job more difficult.


________________________________________________________________

                              SUBMITTING THE GRANT APPLICATION
________________________________________________________________


                 2009-2010 RFP DEADLINE: DECEMBER 5, 2008 at 5:00 pm


One (1) original and six (6) hard copies of the RFP must be postmarked by this date and time. An
email copy must have been received in the Affiliate office by the grants coordinator at
grants@komencsnj.org by this date and time.

Central and South Jersey Affiliate has increased the lead time for you to work on your
application. As a result, we expect that the following conditions will be met.




Before Submitting the Grant Application

           Make sure that everyone involved in the project has a chance to review the grant
            application before it is submitted.
           Have a good editor review the grant application to check for grammar and syntax
            mistakes as well as clarity, consistency and flow.
           Be sure all forms are completely filled out and all questions answered.
           Allow adequate time for signature, copying and delivery.
           Remember: one (1) original and six (6 ) hard copies of the application must be
            POSTMARKED and one electronic copy must be RECEIVED by 5:00 pm on Friday,
            December 5, 2008.


After Submitting the Grant Application

           Do not call Central and South Jersey Affiliate to check on the status of your
            application. You will receive email notification that it has been received.



                                                                                               - 18 -
           If you are noncompliant, you will be notified.
           Your organization will receive a final decision on your application by March 15,
            2009. Again, please do not contact Central and South Jersey Affiliate to inquire
            about your application prior to this date.
           All grant recipients will be invited to a Grants Award Presentation. A
            representative from each organization will be expected to attend.


                 2009-2010 RFP DEADLINE: DECEMBER 5, 2008 at 5:00 pm


After Receiving a Grant

If your organization is selected to receive a grant from Central and South Jersey Affiliate, your
organization will be required to comply with the policies and procedures of the Affiliate. These
policies and procedures may differ from your experience with other Komen Affiliates but are the
ones that govern the management of your grants from our organization. Over the course of the
one-year grant period, your organization will be required to:

           File electronic quarterly progress reports on time detailing your organization’s
            performance on its Komen-funded project. Forms for these reports come with your
            contract or can be downloaded from our website: www.komencsnj.org/grants. Hard
            copies are not required for your quarterly reports. Electronic submission is
            preferred. Progress quarterly progress reports are due:

                    June 30, 2009
                    October 30, 2009 (After satisfactory review, final installment sent.)
                    December 31, 2009

           Following the receipt and acceptance of your six-months progress report, the
            Affiliate will send the second installment of your grant award.

           File a final report (electronic and hard copy) within forty-five (45) days of the
            completion of your grant. Due date is May 15, 2010.

           Comply with all other terms set forth in the Grant Contract.


________________________________________________________________

                                 FREQUENTLY ASKED QUESTIONS
________________________________________________________________

Does Central and South Jersey Affiliate provide ongoing funding for it grantees?
No. All grantees must reapply for funding each year. Funding from Central and South Jersey
Affiliate is never guaranteed and should not be expected by any previous or potential applicants.
Although many of our grantees have received a grant award for more than one grant cycle, these
organizations are never guaranteed continued funding. ‘Continued’ funding of an organization is
based on the merits of its performance and its new proposal for the next granting cycle.




                                                                                                - 19 -
Is it true that Central and South Jersey Affiliate makes its funding decisions based on how well
the Board members like an applicant?
No. Central and South Jersey Affiliate’s grantmaking process is independent, rigorous, and
competitive. An independent Community Review Panel evaluates all applicants, and grant
awards are made in accordance with a pre-determined process that takes many factors into
consideration. Board members vote only on grants as a slate, never individually. While Board
members might have favorite grantees, our independent and rigorous grantmaking process
removes these opinions from Central and South Jersey Affiliate’s funding decisions.

Can our organization appeal a grant decision?
No. All grantmaking decisions are final. After being denied, all applicant organizations are
welcome to reapply for a grant during the following year’s grantmaking cycle.

Our organization is paying a consultant $1,500 to write our grant application. Can this cost be
included in the budget?
No. Central and South Jersey Affiliate will only consider costs related to the execution of a breast
health and/or breast cancer project.

Do we really need to follow the page limits for the application?
Absolutely! Please follow all directions – our Community Review Panel will thank you!

Our organization could do a lot with a smaller amount of money, but the application is just too
cumbersome to fill out for this small amount. Is there another option?
Yes. When funding is available, nonprofit organizations can apply for a Small Grant up to $3,000
for one-time projects and unforeseen needs. There are no deadlines for this kind of request.
Please visit: www.komencsnj.org/grants if your organization would like a copy of the Small
Grants Application.

An unforeseen situation has developed. Can we change our project or our budget?
Yes. Central and South Jersey Affiliate understands that organizations sometimes need to
change their projects. If an organization would like to request a change for the project, the
organization must submit the appropriate forms in a timely manner. Samples of these forms are
included in this guide and are available in a downloadable format by visiting our website:
www.komencsnj.org/grants. Central and South Jersey Affiliate requires that your organization
receive approval for a change request before the change is made. If your project encounters
significant problems, please call the Central and South Jersey Affiliate’s grants coordinator
immediately to discuss and to resolve.


It is the end of the grant period and we have not spent all of our funding. Can we roll it over to
the next year?
No. Central and South Jersey Affiliate’s promise – to end breast cancer forever as a life
threatening disease – is a very serious and urgent mission. There is a tremendous need for
breast health and/or breast cancer services within our service area. Therefore, we strongly
encourage organizations to spend their funding in accordance with the approved grant
proposal within the grant period. If an organization finds itself with remaining funds at
the end of the grant period, the organization must return the unused funds to Central
and South Jersey Affiliate.




                                                                                                 - 20 -
CENTRAL AND SOUTH JERSEY AFFILIATE
  SUSAN G. KOMEN FOR THE CURE®




                                     - 21 -
              2009-2010
                RFP

                             BREAST HEALTH AND BREAST CANCER
                            EDUCATION AND SCREENING PROGRAMS




                        CENTRAL AND SOUTH JERSEY AFFILIATE
                          SUSAN G. KOMEN FOR THE CURE®

                      2008-2009 REQUEST FOR PROPOSALS (RFP)

                             BREAST HEALTH AND BREAST CANCER
                            EDUCATION AND SCREENING PROGRAMS

The Central and South Jersey Affiliate of Susan G. Komen for the Cure® is currently accepting
proposals for innovative projects targeting services not otherwise available to the medically
underserved populations of the following counties: Atlantic, Burlington, Camden, Cape May,
Cumberland, Gloucester, Hunterdon, Mercer, Middlesex, Monmouth, Ocean, Salem and
Somerset. Funding is limited and awarded through a competitive process. The number of grants



                                                                                                - 22 -
awarded is dependent upon successful fundraising events throughout the previous year. Grants
are available for up to one (1) year.

                                     FUNDING OPPORTUNITIES
________________________________________________________________

The Central and South Jersey Affiliate will fund projects that provide breast health and breast
cancer education and screening services to the medically underserved. Programs that
demonstrate support for the Affiliate’s events and initiatives will be given priority. Programs
that are easily replicated and rely on collaboration with other nonprofits are desired. Programs
that adapt evidence-based and/or evidence-informed programs will receive additional points
added to their overall review score by the Affiliate.

Education programs must be culturally-sensitive for targeted populations. Education programs
must provide links to mammography screening. All education programs must use our Reach Out
for Life program for screening referrals if they are not hospital-based with the capability of
providing mammograms.

NOTE: Organizations seeking grants for breast cancer research should apply directly to Komen
Headquarters. Please contact 1-877-GO-KOMEN or visit its website at www.komen.org/grants.

                                        GUIDELINES
________________________________________________________________________

Eligibility:
Applicants must provide services in central and southern New Jersey and must be a federally
tax-exempt 501(c)(3) organization. Nonprofit organizations, educational institutions, nonprofit
hospitals, and government agencies are eligible to apply. Applicants must ensure that all past
and current Komen-funded grants are up-to-date and in compliance with Komen requirements.
English is required for all applications.




Restrictions:
    Project must be specific to breast health and/or breast cancer. For example, if a project is
       a breast and cervical cancer project, funding may only be requested for the breast cancer
       portion.
    Salaries for personnel related to this project should be provided by the organization
       requesting funding unless the individual is instrumental to the project’s success, i.e., an
       added non-English speaking patient navigator or outreach worker.
    Operational costs (i.e., rent, utilities, equipment payments) and costs for doing business
       (i.e., fax machines, computers, projectors, paper, postage, etc.) are not allowed unless the
       applicant proves sole dedication of these items to this project.
    Mammography charges are capped at the current Medicare reimbursement rates
       including films and interpretations.
    Indirect Costs are not allowed.

Submissions:
All proposals must be typewritten on plain, white, single-sided 8 ½ x 11-inch paper using a 12-
point font. Seven (1) hard copies – one (1) original and six (6) copies – are required. Pages should


                                                                                                 - 23 -
be numbered and each copy stapled in the top left corner. No special packaging (binders, plastic
covers, spiral binding) or additional materials (videotapes, annual reports, brochures) should be
included. An electronic copy must be emailed by the deadline of 5:00 p.m., December 5, 2008 to
grants@komencsnj.org. No PDFs accepted.

Review:
Each application is reviewed by at least three independent reviewers who convene to discuss how
best to meet the needs and gaps of the service area by the programs proposed. The Affiliate’s
Board of Directors approve funding based on the reviewers’ recommendations.

Educational Materials:
The Central and South Jersey Affiliate recommends using Komen materials.

Contracts and Grants Period:
A grant contract will be the legal instrument for funding. It will stipulate all of the conditions
listed in this document, plus other stipulations that may arise during the review period. The
grants period begins April 1, 2009 and concludes March 31, 2010.

Payments and Reporting:
Grants will be paid in two equal installments. The initial installment will be paid fifteen (15)
days after receipt of the fully-executed contract. After the six-month progress report has been
reviewed and determined to be on target, the final installment will be issued within 30 days.
Central and South Jersey requires quarterly progress reports which are expected to be submitted
on time. Exceptions are determined on an individual basis. Failure to report on time may
jeopardize installment payments or future funding.

Confirmation of Receipt of Applications:
The Central and South Jersey Affiliate will notify applicants by email.

Announcement of Grants Awarded:
The Central and South Jersey Affiliate will notify grantees by email.




                                                                                                     - 24 -
    ______________________________________________________________________
              APPLICATIONS SHOULD INCLUDE AND BE ORDERED AS FOLLOWS:

   A. Cover Page – must be on form provided.
   B. Project Description
      No more than four (4) single-spaced, typewritten pages with one-inch margins using a 12-
      point font. Page numbers are required.

      1. Abstract
      An abstract should include a short description of the project, the service(s) planned, the
      target population(s), the geographic focus, and any other relevant information. It should
      be well-written and very specific. It is the basis for the Affiliate’s Board of Directors’
      decision and it is provided to Komen Headquarters.

(Attach separate WORD documents for Statement of Need, Purpose of the Grant, and
Evaluation. Four [4] pages maximum.)

      2.   Statement of Need:
              a)   This section is the essence of the project: a detailed description including
                   demographics of the target population and how it is considered medically
                   underserved. Describe how this designation was established.

      3. Purpose of the Grant
                   This section explains how the Statement of Need will be addressed; how the
                   needs and gaps of the target population will be met and how they will
                   benefit from the proposed program.
            a)     Describe program goal(s). Describe SMART objectives to support the
                   goal(s), Describe activities planned to accomplish the objectives.
                   Goal:         Overall aim of program proposed.
                   Objectives: SMART: Specific; Measurable, Achievable, Realistic,
                                            Timebound.
                   Activities:   Planned to accomplish goals and objectives.
            b)     Description of other organizations/entities, if any, with similar programs to
                   this project. This is an important part of evidence-based/evidence-informed
                     programming. Knowledge of what others are doing is crucial to fill gaps
                     within a community.
             c)      Long term sources and/or strategies for funding of the project after the grant
                     period.

      4. Evaluation (See Grants Handbook for detailed information.)
            a)     Expected results during the funding period as shown by your SMART
                   objectives.
            b)     Definition of success for the project and how success will be measured.
            c)     Use of the project’s results and how they will be disseminated.




                                                                                                  - 25 -
 C. Attachments
    A.    Financial information for the project - three (3) typewritten pages or less.
          1)     Project budget detailing request. Use form provided.
          2)     Budget justification – in narrative or bulleted format. (3 pages max.)
          3)     List other sources of funding for the project, including amounts.
    B.    Statement of qualifications for all personnel involved in executing
          the project (can be in the form of a resume, curriculum vitae, or a narrative
          customized for this grant request).
    C.    Proof of non-profit status for applicant organization.
    D.    Most recent Progress Report from former grantees.
    E.    Komen Funding History
    F.    Implementation Plan

                   Please submit one (1) original plus six (6) hard copies and
                      one (1) electronic copy via email of this application.

                NOTE: Microsoft WORD documents only. No PDFs accepted.



  Faxed applications will not be accepted. No spiral bound materials will be accepted. Bind
applications by paper clips or binder clips only. Applications that do not follow this format will
                                         not be reviewed.



                           DEADLINE: December 5, 2008, 5:00 p.m.


                Mailed Applications must be postmarked by December 5, 2008

                                           SEND TO:

                                      Suzanne Hornbeck
                                      Grants Coordinator
                               Central and South Jersey Affiliate
                                Susan G. Komen for the Cure®
                                   2 Princess Road, Suite D
                                   Lawrenceville, NJ 08648

                                EMAIL: grants@komencsnj.org

                                     PHONE: 609-896-1201



                   Please allow adequate time before deadline for response to any inquiry.



                                                                                                - 26 -
                          CENTRAL AND SOUTH JERSEY AFFILIATE
                            SUSAN G. KOMEN FOR THE CURE®

                        2008-2009 REQUEST FOR PROPOSALS (RFP)

                               BREAST HEALTH AND BREAST CANCER
                              EDUCATION AND SCREENING PROGRAMS


Name of Organization/Institution:
Name of Foundation (if applicable):
Address:
County:
Project Director:
Phone: (Please use direct line if available):                    FAX:
Email Address:                                  Website:
Title of Project:
Total Amount Requested:
Identify Evidence-Based or Evidence Informed Program Used:
Signature and title of approving institutional personnel:
Name and title of approving Institutional personnel (Typed):


Please check the following (all that apply):
Type of application:      Education       Screening

Type of organization:     FQHC      Health Department         Hospital      Support
                           Other (specify):                              Organization

Target Population:       African American          Asian   Caucasian      Hispanic
                         All populations:

               Number Educated:

               Number Screened:

Please indicate how the grant funds will be used by percentage:
                                  %Education

                                  %Screening



                                                                                        - 27 -
B. Project Description

Project Director:
Degrees and/or Certifications:

Cancer Education and Early Detection Program (NJCEED) Provider?           Yes      No


1. ABSTRACT
In the space below, please provide a clear, concise abstract describing the program, not to exceed
200 words, written for release to the general public should this application be chosen for funding.
Specifically, your abstract should include a short description of your project, the service(s) you
plan to provide (including numbers), your target population, your geographic focus, and any other
relevant information.




Permission to publish:
Permission is hereby granted to Susan G. Komen for the Cure®, Inc. to publish the above abstract
should this application be selected for funding.

SIGNATURE:

NAME (TYPED):

DATE:                                             PHONE NUMBER:



        Attach separate WORD documents for 2)Statement of Need, 3)Purpose of the
        Grant, and 4)Evaluation. Four [4] page maximum.




                                                                                                - 28 -
        Detailed Budget for Entire Budget period: April 1, 2009 through March 31, 2010

Project Name:

Personnel & Role:                Full          % effort on   Fringe     Salary       Dollar
                                 time/Part     project       benefits   requested    amount
                                 time                                                requested




Supplies (Itemize specifically by category and include vendor name, quantities and
cost per item




Travel
Patient Care Costs (Itemize specifically for each procedure and include cost per
procedure, etc.)




Other Expenses (Itemize specifically by category and include quantities and cost
per item)



TOTAL FUNDING REQUEST




                                                                                            - 29 -
     PLEASE ATTACH BUDGET JUSTIFICATION AND LIST OF OTHER SOURCES OF
                            CURRENT FUNDING




                               BIOGRAPHICAL INFORMATION

Information should be submitted for the project director and personnel included in budget request
only. Please use a separate form for each person.
________________________________________________________________________

NAME:                              TITLE:

EDUCATION (Begin with baccalaureate or initial professional education, such as nursing,
include postdoctoral training).


___________________________
    INSTITUTION                DEGREE               YEAR         FIELD OF STUDY
                                                                   CONFERRED




PROFESSIONAL EXPERIENCE: Please attach and list, in chronological order, concluding with
present position, previous employment, experience and honors. DO NOT EXCEED TWO PAGES.




                                                                                             - 30 -
                             Komen Central and South Jersey


                                       FUNDING HISTORY


Please list all previous grants and funding amount(s) from the Central and South Jersey Affiliate for
the past three years:




  Grant Start & End Dates                Funding Amount                      Title of Grant




Prior grants must be in good standing with all reports filed and contractual obligations met
before new applications may be considered.




                                                                                                 - 31 -
                                 A PPLICATION C HECKLIST
                   (F O R Y OU R US E ONLY . D O NO T R ET UR N W I T H RFP.)

                                                                      Included
        1. Cover Page
        2. Abstract Page
        3. Project Description w/ SMART Objectives
        4. Budget Form
        5. Budget Justification
        6. Biographical Information
        7. Proof of Nonprofit Status
        8. Most Recent Progress Report (if former grantee)
        9. Komen Funding History Form
        10. Implementation Plan




Retrieve electronic copy from:                         www.komencsnj.org/grants


Submit 1 electronic copy (no PDFs) to:          grants@komencsnj.org


Submit 7 hard copies of application to:         Suzanne Hornbeck
                                                Grants Coordinator
                                                Central and South Jersey Affiliate
                                                Susan G. Komen for the Cure®
                                                2 Princess Road, Suite D
                                                Lawrenceville, NJ 08648




                                  APPLICATION DEADLINE:

                                     DECEMBER 5, 2008

                                           5:00 PM

NOTE: MICROSOFT WORD DOCUMENTS ONLY. NO PDFS ACCEPTED.




                                                                                     - 32 -
APPENDIX
 2009-10




           - 33 -
          2006 COMMUNITY PROFILE EXECUTIVE SUMMARY
This is a guide. Please conduct your own primary research of the community you wish to serve and the
population you wish to target. An updated version of the Community Profile will be available in the Spring
of 2009.


                                             DEMOGRAPHICS
The service area of Central and South Jersey Susan G. Komen for the Cure® represents a diverse region
encompassing 13 counties in the central and southern two-thirds of New Jersey, including Atlantic,
Burlington, Camden, Cape May, Cumberland, Gloucester, Hunterdon, Mercer, Middlesex, Monmouth,
Ocean, Salem and Somerset counties. The region incorporates densely-populated urban centers, such as
Camden, Trenton, New Brunswick and Atlantic City; large, wealthy, suburban counties, such as
Hunterdon and Monmouth; and under-developed rural communities in Cumberland, southern Ocean and
Salem counties. In this area, 2.36 million women live; 1.15 million women are over age 40.

Not surprisingly, the demographic profile of the 4.4 million residents in the 13-county region varies widely.
For example, more than one-half (approximately 53%) of the residents of Camden City in Camden County
are African Americans, while more than one-third (38.8%) are Hispanic. Within these two groups, 32.8%
live in poverty perhaps because only 51% hold high school diplomas. In contrast about sixty miles north is
Hunterdon County where 93.9% of the residents are Caucasian, 2.2% are African American, and 2.8% are
Hispanic. In Hunterdon County 91.5% of the residents have graduated from high school and less than
1.6% live in poverty.
BREAST CANCER DATA
Although recent rates have been moving more towards national averages, New Jersey overall has high
incidence and high mortality rates. The state consistently ranks in the top ten for breast cancer mortality
and a state health profile by the National Center for Health Reporting (NCHR) indicated that it is now
ranked 48th for breast health indicators including late staging, mortality and screening practices. Our
service area averages about 3,450 newly diagnosed breast cancers every year. Annually, nearly 880
residents die from the disease. (NJ Cancer Registry 1999-2002 data). The percentage of late stage
diagnosis for under 65+ years exceeds the state average of 29.83% in seven of the thirteen counties in our
service area.
                                                Types of Pro
In each county the federal and state funded New Jersey Cancer Education Early Detection (NJ CEED)
sites provide low cost screening, complemented by the Federally Qualified Health Centers (FQHCs) and
community outreach programs. Moreover, 132 mammography centers exist throughout the 13-county
service area.

                             PRIORITIZED GAPS/UNMET NEEDS IN SERVICE AREA
Despite the appearance of adequate healthcare availability, data analyses, expert interviews, focus groups
and program surveys identified a number of unmet needs and gaps in healthcare services for the targeted
population of the underserved and uninsured in our service area. Data reveal slightly declining breast
cancer incidence and mortality rates, but still stubbornly-higher than national rates are deaths from breast
cancer and percentages of late-stage breast cancer diagnoses. While many counties in the Central and
South Jersey service area do better than state averages in percentage of late-stage diagnosis, a number of
counties have higher rates for specific groups that they serve. Efforts that target these groups are needed.

A second significant concern identified through research uncovered the growing demand for screening
created by successful outreach efforts. Therefore, we may wish to direct more of our grant support towards
expanded screening for under-served populations.

Analyses also indicate three major risk groups that require increased and improved educational and
screening services:




                                                                                                          - 34 -
      65+ Years Old
      Non-CEED Eligible
      Undocumented Immigrants.

Streamlining services while coordinating care is critical to moving high-risk women into the healthcare
system for breast cancer education and screening. Patient navigators, outreach coordinators, peer to peer
mentors and innovative ways and means to provide assistance to indigent and medically under-served
people should be supported to better address this need.




Glossary

                                                                                                       - 35 -
Central and South Jersey requests that program directors consider the following distinctions in this
proposal and to be very explicit in the language used to present program specifics.


BCCCP          The National Breast and Cervical Cancer Early Detection Program (BCCCP) provides low-
               income, uninsured and underserved women access to screening and diagnostic services.
               The name of the program varies by state. Susan G. Komen for the Cure and its affiliates
               partner with BCCCP programs around the country through grants, education and public
               policy initiatives. In New Jersey, it is called NJ-CEED (New Jersey-Cancer Education
               Early Detection).

               Central and South Jersey partners with NJ-CEED through the affiliate-funded Reach Out
               for Life program which uses the toll-free 2-1-1 number to match those needing free or low-
               cost mammography
               screening with providers throughout the 13-county service area.


Education      Education is defined as activities targeted at improving overall understanding about breast
               health/breast cancer, promoting action toward early detection, increasing awareness about
               how to initiate the screening process and resources for care and/or treatment.

               Education programs must be culturally-appropriate programs for target populations and
               provide a direct link to screening services and follow-up as necessary. Culturally-
               appropriate education means that there is a clear understanding of the target population
               and the program takes into account the social and cultural norms of that population.

               Education does not mean literature was distributed at a health fair or shower cards were
               picked up in a “Goodie Bag.” What is the change in behavior or perception as a result of an
               education program? How do you know? Support assumptions with details. Were pre and
               post tests administered to validate claims? Knowledge gained by the participants is the
               determinant.


Follow-Up      Results that document a successful second contact is the validation. What is meant by this
               term? Was a letter sent? Was a phone call made? Did you speak with the person called or
               leave a message? Did you knock on their door and meet them face-to-face? What was
               expected of the individual once contact was made?


Late Stage     Late stage refers to a breast cancer diagnosis of either stage 3 or stage 4 where 5-year
               survival outcomes are improbable. If breast cancer is diagnosed earlier, the chance for
               surviving five or more years improves.


Medically Underserved
              Medically underserved includes uninsured and underinsured individuals. The term also
              covers individuals who may not receive adequate care because of other barriers, such as cost
              or language. These barriers vary from community to community and must be described in
              detail in the project narrative. The term also includes populations that have high rates of
              breast cancer mortality.


Number of Women Reached
             Number of women reached refers to a change in attitude or behavior as a result of an
             intervention. For example, how many women did you influence to seek a mammogram?


                                                                                                          - 36 -
               Number of women reached does not mean they signed in at a seminar, or showed up at a
               presentation and you counted occupied chairs. It does not mean they were recipients of a
               mass mailing, or you counted literature before a health fair and then again after it was
               handed out to determine your outreach. Be specific in choosing your indicators.



Outreach       Outreach is defined as reaching out to various communities to find people who do not use or
               who under use medical services. Outreach is making meaningful contacts with people on
               their own terms, in their natural settings within well-defined communities, while also
               providing any service that facilitates and promotes breast healthcare.



Patient Navigation
              Patient navigation is defined as assistance in providing persons needing access to
              screening, re-screening, and, in the case of abnormal findings, accessing the cancer care
              system. In addition, patient navigation refers to activities to help patients and family
              members overcome barriers to quality, standard care.



Screening      Screening means mammography and/or subsequent medical tests, i.e., Ultrasound, biopsy
               (surgical, stereo tactical, and/or needle, etc.) and other medical procedures that may be
               followed when a positive diagnosis of breast cancer seems imminent.

               Screening does not mean breast self exams (BSE) or clinical breast exams (CBE) which are
               considered healthy lifestyle regimens.



Target Population
               The target population is the group of people your program focuses on. Do list race,
               ethnicity, age range, and any extenuating circumstances to overcome when meeting their
               particular needs. Do not neglect cultural and linguistic factors. Do list the number of
               people your program expects to impact upon.



Underinsured/Uninsured
              “Uninsured” refers to individuals who do not have health insurance. “Underinsured” refers
              to individuals who have health insurance, but that insurance does not include breast cancer
              screening, diagnosis or treatment services, or that the co-payments are prohibitively
              expensive.




                                                                                                          - 37 -
                    2009-10 GRANTEE PROGRESS REPORT FORM




                                                              Due Dates: June 30, 2009
                                                                    December 31, 2009
Please Type
PROJECT DIRECTOR:
                                 Last name       First name      Middle Initial
AGENCY:


PROJECT TITLE:


PERIOD COVERED BY PROGRESS REPORT:


FROM:                                     TO:




1.     PROJECT PROGRESS REPORT: In this section, list progress of project toward meeting objectives as
       outlined in Grant Application, including number of people served during this period. (1 page)

2.     PROPOSED CHANGES: In this section, please report any proposed changes in project design, project
       personnel, or project budget. Please use the “Request for Change/Amendment” form. (1 page per
       change, if any)


3.     OTHER SOURCES OF SUPPORT: In this section, please list any notice or receipt of other sources of
       support for this project received during the past six months. (1 page, if any)


4.     PROJECT MATERIALS: In this section, please list and attach all published or produced materials,
       pictures, etc. for the past three months. (1 page plus attachments)


5.     ACCOUNTING OF GRANT FUNDS: Please attach a current accounting of grant funds using the Budget
       Progress Report form. (1 page)


                                     ___________________________________________________________________

     SIGNATURE OF PROJECT DIRECTOR                               DATE



              2009-10 BUDGET PROGRESS REPORT FORM




                                                                                                          - 38 -
ACCOUNTING OF GRANT FUNDS FROM
                                                             TO
                                    MONTH/DAY/YEAR                MONTH/DAY/YEAR

                                                ORIGINAL BUDGET    ACTUAL EXPENSES
                                                                       TO DATE
PERSONNEL




SUPPLIES (ITEMIZE BY CATEGORY)




EQUIPMENT (NOT TO EXCEED 30% OF DIRECT
COSTS)




PATIENT CARE COSTS
                     INPATIENT


                     OUTPATIENT


SUBTOTAL (DIRECT COSTS)                     $                     $




                                            $                     $
Total Grant Funds Expenditures




SIGNATURE:                                           DATE:


  PRINCIPAL INVESTIGATOR/PROJECT DIRECTOR



                     2009-2010 SIX-MONTHS Progress Report Form




                                                                                     - 39 -
     Project Director:
                                       Last name        First name       Middle Initial
     Institution:

     Project Title:

     Grant Start Date:        April 1, 2009             End Date:              March 31, 2010
                              Month/Day/Year                                    Month/Day/Year

     1.   Project Objectives :         List separately each project objective.




1.        Progress of Project Objectives: Use raw numbers.

SMART
Objectives:         Numbers Served: If 100 women are targeted, at six months a cumulative actual score of 50
                    should have been reached. Please report in this format: 50/100
                    1st Q              2nd Q    Six Months    4th Q         FY
                    Actual/Target Actual/Target Actual/Target Actual/Target Actual/Target
Objective 1

Objective 2

Objective 3

Objective 4

Objective 5




     4. Project Explanation: Please explain what resources you used to accomplish your goals.



                                                                                                               - 40 -
5. Services provided: (List the number of people served in each category paid for by
                        your Komen grant.):

 # of People Served                              # of People Served

 _____    Education Programs                  _____ Complementary/Alternate

 _____    Breast Self Exams                   _____ Psychosocial

 _____    Clinical Breast Exams               _____ Written Materials Provided

 _____    Screening Mammography               _____ Media Outreach (Type)

 _____    Mammography Referrals               _____ Other (Explain)

 _____    Screening Follow-up


 6. Populations Served: Please identify your target audience(s) and their age range. i.e., Fifty
    40+.

 _______African American                    ________Latina

 _______White                               ________American Indian

 _______Pacific Islander                    ________Middle Eastern

 _______Asian (Please provide nation/nationality) ____________________________________

 _______High Schoolers                     ________65+

 _______Young Adults                        ________40+

 7. Mammography Services: Provided and paid for by your Komen grant.

 A. Number of mammograms provided: _____________


                                                                                                   - 41 -
 B. Number of clients referred for further diagnosis:

 C. Number of clients referred for mammograms (not paid by your Komen grant): ________________

 D. Number of breast cancers detected:


 8. Other Sources of Support: In this section, please list any notice or receipt of other
    sources of support received for this project.

                        Organization                          Dollar Amount




9. Project Materials: In this section, please list all published or produced materials,
   pictures, etc. for this grant project. Include copies of materials for Affiliate files.




10. Accounting of Grant Funds: Please attach the budget form showing actual dollars
    spent vs. budgeted ones for this time period.


       ______________________________________________________________________________
 Signature of Project Director                                           Date
                                                                     ®
 Permission is hereby granted to the Susan G. Komen for the Cure to publish the above information.
 Proper credit will be given to grantee where appropriate.




                                                                                                     - 42 -
                   2009-2010 SIX MONTHS BUDGET Progress Report


ACCOUNTING OF GRANT FUNDS FROM     APRIL 1, 2009        TO         DECEMBER 31, 2010
                                   MONTH/DAY/YEAR                   MONTH/DAY/YEAR


                                             Original Budget         Actual Expenses
                                                                         To Date
PERSONNEL




SUPPLIES (ITEMIZE BY CATEGORY)




EQUIPMENT (NOT TO EXCEED 30% OF DIRECT
COSTS)




MATERIALS USED COSTS
                   OUTREACH


                       SCREENING

SUBTOTAL (DIRECT COSTS)                  $                     $




                                         $                     $
Total Grant Funds Expenditures




                                                                                       - 43 -
                          2009-10 GRANTEE FINAL REPORT FORM




                                                               Due Date: May 15, 2010

     Please Type
     Project Director:
                                 Last name     First name    Middle Initial
     Agency:

     Project Title:

     Grant Start Date:    April 1, 2009         End Date:      March 31, 2010
                          Month/Day/Year                            Month/Day/Year
     1.   Project Summary I: List each objective from original application.




2.       What Percentage of SMART Objectives Were Met?
     SMART
     Objectives:
                  Percent Completed:

                      1-25%       26-50%         51-75%        76-100%        N/A
     Objective 1

     Objective 2

     Objective 3

     Objective 4

     Objective 5




                                                                                        - 44 -
  3. Project Summary II: In this section, please provide a short summary (200 words or less) in lay
  language describing the outcomes and accomplishments of this project. Include a statement of plants
  for the future of the program.




4. Types of services provided: (List the number of people served in each category paid for by
   your Komen grant.):

  # of People Served                             # of People Served

  _____    Clinical Trials Education          _____ Complementary/Alternate

  _____    Clinical Trials Enrollment         _____ Psychosocial

  _____    Clinical Breast Exams             _____ Written Materials Provided

  _____    Screening Mammography              _____ Educational Sessions

  _____    Diagnostic Services                _____ Other

  _____    Treatment Assistance




  Mammography Services provided and paid for by your Komen grant:


                                                                                                      - 45 -
     A. Number of mammograms provided: _____________

     B. Number of clients referred out for further diagnosis:

     C. Number of clients referred out for mammograms (not paid by your
       Komen grant): ________________

     D. Number of breast cancers detected:


3.   Other Sources of Support: In this section, please list any notice or receipt of other sources of
     support for this project received during the past six months.

                       Organization                     Dollar Amount




4.   Project Materials: In this section, please list all published or produced materials, pictures, etc.
     for this grant project. Include copies of materials for Affiliate files.




5.   Accounting of Grant Funds: Please attach a final budget for the entire term of the grant period.
     (Use attached form)


     _________________________________________________________________
     Signature of Project Director                                  Date

     Permission is hereby granted to the Susan G. Komen for the Cure® to publish the above
     information. Proper credit will be given to grantee where appropriate.




                                                                                                    - 46 -
                          2009-10 BUDGET FINAL REPORT FORM


ACCOUNTING OF GRANT FUNDS
                                  FROM                  TO

                                  MONTH/DAY/YEAR               MONTH/DAY/YEAR

                                             Original Budget    Actual Expenses
                                                                    To Date
PERSONNEL



SUPPLIES (ITEMIZE BY CATEGORY)



EQUIPMENT (NOT TO EXCEED 30% OF
DIRECT COSTS)




PATIENT CARE COSTS
                     INPATIENT

                     OUTPATIENT

SUBTOTAL (DIRECT COSTS)                  $                     $



                                         $                     $
Total Grant Funds Expenditures




SIGNATURE:                                        DATE REQUESTED:


        (TYPED) PROJECT DIRECTOR




                                                                                  - 47 -
2009-10 REQUEST FOR GRANT CHANGE OR AMENDMENT FORM




              REQUEST FOR GRANT CHANGE or AMENDMENT
Date submitted
Project Director
Institution
Phone #
Fax #
Email Address

      No cost extension. Change in ending date only. (Attach explanation for extension.)

      Request ending date be extended from __________ to _________


      Budget change. (Attach budget change form and justification.)


      Personnel change. (Attach curriculum vitae of proposed new personnel and an
      explanation for the change.)

      Position to be changed
      Present personnel
      New (proposed) personnel

 _____ Other: Explanation for request:



SIGNATURES (REQUIRED):
Project Director Signature & Date

Approving Institution Official Signature & Date
Komen Approved by: ______________________________ Date:_____________________




                                                                                      - 48 -
                      Request for change of grant budget
                                         ORIGINAL BUDGET       NEW BUDGET
                                                               (REQUESTED)
Personnel



Supplies (Itemize by category)


Equipment (not to exceed 30% of direct
costs)


Patient Care Costs
              Inpatient

              Outpatient

Other Expenses (itemized by category)




SUBTOTAL-DIRECT COSTS                    $                 $


                                         $                 $

TOTAL FUNDING REQUEST


SIGNATURE                                    DATE REQUESTED


(Typed) Project Director




                                                                             - 49 -
             2009-2010 SMALL GRANTS RFP




S MALL G RANTS A PPLICATION


    PROJECT DIRECTOR & TITLE

                   INSTITUTE

                    ADDRESS



                      PHONE (   )

                        FAX (   )

                      EMAIL

            TITLE OF PROJECT

    TOTAL AMOUNT REQUESTED


        SIGNATURE & TITLE OF
 APPROVING PERSONNEL (OTHER
     THAN PROGRAM DIRECTOR)           DATE

   NAME & TITLE OF APPROVING
          PERSONNEL (TYPED)




                                             - 50 -
SMALL GRANT APPLICATION



PURPOSE:




OBJECTIVE:




BENEFIT TO KOMEN AFFILIATE & CONSTITUENCY (BREAST HEALTH COMMUNITY):




TIMELINE:




OTHER PARTICIPATING SPONSORS/ORGANIZATIONS:




      ATTACH PROOF OF NONPROFIT STATUS.


APPROVING PERSONNEL FROM APPLICANT’S ORGANIZATION:

DATE:
THE PROJECT OUTLINE: ( MEDIA & PROMOTIONAL PLAN IF APPLICABLE)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
_______




                                                                                - 51 -
                                                           SMALL GRANT APPLICATION
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

THE PROJECT BUDGET & RESOURCE ESTIMATES:

ITEM           USE             COST            RESOURCE        NEED




THE PROJECT TIMELINE: (DEFINE GOALS IN TERMS OF QUARTERS) :
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
EVALUATION:
___________________________________________________________________________________
___________________________________________________________________________________
FOLLOW-UP:




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