Application Cover Sheet Application Checklist Form

							                                                                             RFA #AARFA-2009
                                                                                     Form #2

                 Network for a Healthy California—African American Campaign
                                        Faith Projects RFA
                             Application Cover Sheet and Checklist
                            Applications due June 12, 2009, 4:00 p.m.


A.        Application Cover Sheet/Contact Information

 Applicant Name:
 Street Address:
 City, Zip code:
 Project Contact
 Person:
 Telephone:
 Fax:
 Email:




B.        Application Checklist. Please compile the application in the following order:


     1.    Form #2: Cover Sheet – Two (2) pages maximum
     2.    Form #3: Project Description and Approach – Five (5) pages maximum
     3.    Form #4: Applicant Capability – Three (3) pages maximum
     4.    Form #5: Scope of Work
     6.    Form #6: Budget Justification
     7.    Form #7, parts a and b: Project Summary
     8.    Résumés of Key (Proposed) Project Staff
     9.    Up to Three (3) Letters of Support – Three (3) maximum




                                   SUBMIT APPLICATION TO:

Mailing Address:                                   Shipping/Overnight Address:
Laura O’Neill                                      Laura O’Neill
Network for a Healthy California                   Network for a Healthy California
P.O. Box 997377, MS-7204                           1616 Capitol Ave., MS-7204
Sacramento, CA 95899-7377                          Sacramento, CA 95814