The Foundation has no set form of application. However, the information should
be provided in the following order:
1. Cover Letter, not to exceed one page
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A brief description of the organization
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A brief description of the proposed program
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A brief statement on the impact the proposed program will have on your
organization
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The total program budget, and amount and length of time of request
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How funds will be expended if grant is made
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Indicated support from the Board Chair and Executive Director
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Signature of both the Board Chair/President and Executive Director
2. A proposal abstract, not to exceed two pages
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Brief overview of the organization
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A brief summary of the proposed program/project
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How proposed program/project will assist the Foundation in implementing its
mission and goals
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Total program budget, amount and length of time of funding request,
organizational support (financial and in-kind) and other committed and/or
anticipated funding support
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A list of goals and objectives of proposed program
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A brief description about the method for administering the proposed program
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A brief description about the method for evaluating proposed program
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A brief statement about post-grant plans and funding for proposed program
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Name and phone number of the project director or contact person
3. A full proposal, not to exceed eight pages and should include the following:
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Organizational background, including mission and goals
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Background information about the need(s) to be addressed
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A detailed description of the intent of the proposed program
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A detailed list of the program goals and objectives
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Activities needed to be undertaken to accomplish program goals and objectives
and a detailed timeline for implementing and completing these activities
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Detailed discussion about how program will enhance osteopathic medical
education and the mission of the foundation
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Detailed discussion of post grant plans for the proposed program, including how
it will be financed after Foundation funding is depleted
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Criteria that will be utilized for evaluating the program
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Completion and submission of a detailed, line-item budget of revenue and
expenditures associated with the proposed program (budget forms located on
Foundation Web-site)
4. Attachments
- List of Board of Trustees
- A copy of your organization's tax-exempt letter from the IRS
- A copy of your most recent annual report
- A copy of the most current audited financial statement
- Program Budget
- Certification of your Public Charity Status (eg. 990-PF)
(Two copies of the completed applications should be submitted to the Foundation
by e-mail or regular mail)
**Grant applications submitted to the Foundation by South Pointe Hospital (SPH)
or any other hospital, entity or individual within the Cleveland Clinic Health
System must adhere to SPH’s grant application process. To obtain information
about SPH’s grant application process call (216) 491-7234 or 491-7461. The
Foundation will not consider applications that have not followed SPH’s
application process.
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