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
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
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
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 .
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.
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 NOT
fund any requests for food, travel, or speaker honorarium.
Funding Amount Item Description Narrative/explanation Anticipated Funding
$ 96.00 Teaching booklets: Participants will receive $96.00 – AMSA Local
· 24 folders x a small teaching booklet Project Grant
$1.00 = $24.00 containing pertinent
· 15 black and articles, community
white double- statistics, and
sided copies x community resources
24 participants related to the
x $.20 = Environmental Justice
$ 3.00 Publicity: We will utilize email $2.00 – AMSA Local
· email and class and class Project Grant
announcements announcements as well
= free as fliers to publicize the
· 30 fliers x $.10 tour and reach as many
= $3.00 faculty and students as
possible. Later we will
also announce the poster
display to the
schools and community
$ 7.20 Evaluation: Pre- and Post- $ 7.20 – AMSA Local
· 24 pre- Evaluations will help Project Grant
evaluation determine what students
sheets: 24 x and faculty have learned
$.10 = $2.40 from the experience and
· 24, 2-page also evaluate the
post-evaluation components of the tour
forms: 24 x 2 x so we can improve it in
$.10 = $ 4.80 the future.
$ 275.00 Avis Van Rental: Two vans are required to $100 – Local AMSA
· Two, 12 passenger transport students to the Chapter
vans x 1 day, gas various toxic sites $100 – Graduate Student
and van insurance around the community. Council
included in price = We could have had $75.00 – Van company
$275.00 everyone carpool discount
separately, but then the
in-van group discussions
and teaching would have
$ 81.25 Digital Photo Printing: The use of digital photos $ 81.25 – AMSA Local
· 25, 5x7 inch digital will allow participants to Project Grant
photos x $1.25 = take many pictures and
$31.25 then we will be able to
· 25, 8x10 inch develop only the best
digital photos x $ ones for the presentation
2.00 = $50.00 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
$ 40.75 Photo Presentation Foam board is more $ 40.75 – AMSA Local
Boards: resilient and durable Project Grant
· 10 foam boards x than poster board. We
$4.00 = $40.00 intend to reuse these
· 1 packet sticky tack boards in future
= $1.75 semesters as well.