SAMPLE GRANT PROPOSAL I. Chapter Name II. Project Leaders and Chapter President addresses, telephone numbers, emails III. Project Description and Abstract A. Project Description: Low-income communities of color suffer a disproportionate burden of environmental hazards, which correlate with high rates of chronic diseases such as asthma, diabetes, and cancer. To address the limited attention given to these issues in the curriculum, students will participate in a 4-hour guided bus tour of toxic sites in the community, a low-income neighborhood with a large African American and Latino population. Working with the Coalition for Environmental Justice, participants will meet with local residents and discuss ways that health professionals can help promote health and environmental justice. Photographs taken will be displayed in graduate departments. B. Abstract: Local health professional and graduate students will participate in a 4-hour physician-led local bus tour to highlight environmental hazards and work with community members to plan health justice action. IV. Project Details A. Title: Environmental Justice Tour B. Number of local chapter member participants: 20 C. Number of other health professional participants: 4 D. Describe your target audience: 24 medical students and faculty will be selected as the main EJ Tour participants. Additionally, to expand the breadth of impact of this project, hundreds of people will be invited to view the poster display from the medical school, school of public health, nursing school, and pharmacy school, as well as local community members. E. Goal of Project (25 words): To introduce law, medicine, public health, and nursing students to community environmental justice issues, and to involve them in institutional and public policy change. F. How will you attain goals – Note specific measurable objectives to reach those goals? (50 words) 1) Introduce environmental justice issues to students via bus tour by local physician activist. 2) Document tour with digital photography for med school/community poster presentation. G. What other alternatives were considered? (25 words) We considered holding a weekend conference on environmental health issues, as well as a lunchtime lecture from an occupational medicine doctor. H. Why were they excluded? (25 words) We felt that a lecture or conference would be too broad and less powerful than experiential learning. I. AMSA resources: We reviewed www.amsa.org/global Global Health Action Committee website and contacted the Global Environment Coordinator for advice and educational resources to hand out, and will direct participants to AMSA’s legislative action center at www.amsa.org/legislativecenter for follow-up action. J. Please include timeline (note milestones, point of no return). 1) Tour date and initial communication with faculty established by October 15 . 2) Publicity plan (email, class announcements, and fliers) and application system designed and posted by October 20 . 3) Applications posted by November 15 . Application deadline December 1 . Applicants and waitlist notified by January 1 . 4) Faculty participants finalized by November 15 . 5) Environmental issue committees created by November 30 for tour follow-up action. Committees will meet every other week until the tour and will coordinate all follow-up. 6) Van rental reserved by January 1 . 7) Participant reminders sent out January 15 . 8) Tour date: February 5 , 2005. 9) Photo poster presentation and follow-up action groups meet February 15 and February 30 to create exhibit and plan action. 10) Photo poster presentation week of March 1-7 in main lounge. 11) Six-month reports due from committees on August 15 . K. If problems arise, when will the goal be reached? March 5 .
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L. Evaluation (50 words): Pre- and post-tests on local environmental knowledge will be administered to all tour participants and used to inform issue committees in furthering curricular improvements. Written evaluations of the tour will be used to help future planners and evaluate project impact. Committees will issue culminating report at school meeting 6 months after tour. M. If you feel as if your AMSA chapter is struggling, please comment on why and how this project may help develop local AMSA activity: Our AMSA chapter is already quite active. V. Resource Requirements: A-E. List of applicable resources F. Participation will not be limited to any specific group. VI. Finance and Budget A. Has this project ever received previous AMSA Local Project Grant funding? No. B. Has this project been done before? No. If so: 1. How is this year different/improved from previous years? 2. How was the project funded in the past (please be specific--local chapter, school, outside grant, LPG)? C. What additional funding sources were considered for the project this year? Have you planned to obtain any resources from the following? 1. Local Chapter Contribution $ 100.00 2. Collaborating Groups (specify) $ 100.00 (Graduate Student Council) 3. Other (specify) $ 75.00 (discount from van rental company) 4. AMSA (amt. requesting) $ 228.20 TOTAL $ 503.20
D. Required precise, itemized project budget. Please use the chart format below. Note: AMSA will fund any requests for food, travel, or speaker honorarium. Funding Amount Requested $ 96.00 Item Description Narrative/explanation Anticipated Funding Source $96.00 – AMSA Local Project Grant
NOT
Teaching booklets: · 24 folders x $1.00 = $24.00 · 15 black and white doublesided copies x 24 participants x $.20 = $96.00 Publicity: · email and class announcements = free · 30 fliers x $.10 = $3.00
Participants will receive a small teaching booklet containing pertinent articles, community statistics, and community resources related to the Environmental Justice Tour. We will utilize email and class announcements as well as fliers to publicize the tour and reach as many faculty and students as possible. Later we will also announce the poster display to the surrounding graduate schools and community
$ 3.00
$2.00 – AMSA Local Project Grant
via fliers. $ 7.20 Evaluation: · 24 preevaluation sheets: 24 x $.10 = $2.40 · 24, 2-page post-evaluation forms: 24 x 2 x $.10 = $ 4.80 Avis Van Rental: · Two, 12 passenger vans x 1 day, gas and van insurance included in price = $275.00 Pre- and PostEvaluations will help determine what students and faculty have learned from the experience and also evaluate the components of the tour so we can improve it in the future. Two vans are required to transport students to the various toxic sites around the community. We could have had everyone carpool separately, but then the in-van group discussions and teaching would have suffered. The use of digital photos will allow participants to take many pictures and then we will be able to develop only the best ones for the presentation to the larger community. We decided that 5x7 and 8x10 inch photos would likely be most moving. We may also submit them in our school art show and to the AMSA Healer’s Voice online art’s journal. Foam board is more resilient and durable than poster board. We intend to reuse these boards in future semesters as well. $ 7.20 – AMSA Local Project Grant
$ 275.00
$100 – Local AMSA Chapter $100 – Graduate Student Council $75.00 – Van company discount
$ 81.25
Digital Photo Printing: · 25, 5x7 inch digital photos x $1.25 = $31.25 · 25, 8x10 inch digital photos x $ 2.00 = $50.00
$ 81.25 – AMSA Local Project Grant
$ 40.75
Photo Presentation Boards: · 10 foam boards x $4.00 = $40.00 · 1 packet sticky tack = $1.75
$ 40.75 – AMSA Local Project Grant
TOTAL
$ 503.20