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PREVIEW ONLY: Pathways to Health Careers Application Questions - Division of Workforce Development and Adult Learning

The Maryland Rural Health Transformation Program (RHTP): Pathways to Health Careers will deploy resources to projects that are ready for immediate implementation and can enable proven workforce development entities to administer activities. MD Labor will fund projects aimed at improving access to high quality innovation in healthcare delivery and management across 18 State-designated rural counties. Successful applicants will propose plans that implement high-impact interventions aligned with the RHTP purpose and can apply to one or both of the projects:

  1. Rural Healthcare Registered Apprenticeship Intermediaries, and
  2. Rural Advancement for Maryland Peers - Allied Health (RAMP-AH)

Completed applications, along with required documentation, should be submitted via Google Forms by 11:59 pm EST on Sunday, August 9, 2026. Incomplete applications will not be considered.

Before Applying

Applicants should carefully review the Maryland RHTP: Pathways to Health Careers Policy on the RHTP website before submitting the application in Google Forms. The policy outlines required program components and key terminology for this project.

Attendance at the Pre-Proposal Conference on Wednesday, July 15, 2026 at 1:00 p.m is strongly encouraged. To register, see our meeting registration form on the RHTP website.

In order to receive the application materials, including the Google Forms link(s), applicants must submit a Notice of Intent to Apply via the link on the RHTP website by Friday, August 7.

Applicants must be registered with the federal System for Award Management, sam.gov, at the time of their application

Required Documentation

The following documents are required as a part of the application. At the end of the online application, you will be asked to upload the documents listed below.
For the lead applicant:

  1. A Certificate of Good Standing with the Maryland State Department of Assessments and Taxation. A screenshot is acceptable.
  2. A completed and signed W-9
  3. A completed and signed Conflict of Interest Affidavit and Disclosure form
  4. If tax-exempt pursuant to I.R.C. 501(c), a copy of official notice of tax-exempt status from the IRS

Specific to each project:

  1. A completed budget template
  2. At least one letter of commitment from an employer partner. Note: if the lead applicant is serving as the employer of individuals being funded by the project, a letter of commitment is not required.
  3. If working with diverse entity partners (i.e., entities supporting the project but not employing grant-funded participants such as Institutes of Higher Education, Non-Profit or Community Based Organizations, Local Workforce Development Boards, Local Government), a letter of commitment from each diverse entity. While not required, partnering with diverse entities is strongly encouraged.
  4. A Certificate of Good Standing for each partner receiving funds (subrecipient). A screenshot of each organization's status is acceptable.
  5. A completed and signed W-9 for each subrecipient

For questions about the application process, please email [email protected] until Friday, July 24.


Preview of Application Questions:
Rural Healthcare Registered Apprenticeship Intermediaries

SECTION 1: COVER PAGE

For questions 1 - 8, provide the requested information about the lead applicant organization.

  1. Lead Applicant Organization’s Name
  2. Organization Street Address
  3. Primary Contact First and Last Name
  4. Primary Contact Position Title
  5. Primary Contact Email
  6. Primary Contact Phone
  7. Organization Federal Employer Identification Number (FEIN or EIN)
  8. Organization Type. Select all that apply.
    • Local Workforce Development Board
    • Local Health Department
    • Hospital Organization/Employer
    • Institutions of Higher Education
    • Training Provider
    • Local Education Agency
    • Career and Technical Education (CTE) program
    • Industry Association
    • Registered Apprenticeship Sponsor
    • Local and Regional economic development entity
    • Other organization:
  9. Which of the following counties will your project serve? Select all that apply.
    • Allegany
    • Calvert
    • Caroline
    • Carroll
    • Cecil
    • Charles
    • Dorchester
    • Frederick
    • Garrett
    • Harford
    • Kent
    • Queen Anne's
    • St. Mary's
    • Somerset
    • Talbot
    • Washington
    • Wicomico
    • Worcester
  10. List all employer partners that have provided a letter of commitment for this project. At least one is required.
  11. If applicable, list all diverse entity partners that have provided a letter of commitment for this project. Note: diverse entity partners are not required but are strongly encouraged.
  12. Amount of funding requested. Cannot exceed $400,000:
  13. Leveraged Resources - List the total value of cash or in-kind contributions committed by partners or the applicant to support the project.

SECTION 2: EXECUTIVE SUMMARY

  1. Provide a clear and concise summary of the project that explains the need, goals, activities, timeline, and key partners involved. Maximum 500 words.

SECTION 3: APPLICANT EXPERIENCE

  1. Provide a brief profile of the lead applicant organization. Maximum 500 words.
    1. How long has your organization been active?
    2. What is the organization’s mission?
    3. What population(s) are served?
  2. Describe your experience as a Registered Apprenticeship (RA) Intermediary. If not applicable, please share similar collaborative experience that makes your organization an ideal candidate for an award.
    1. Connecting sponsors, employers, or potential apprenticeship program participants with RA programs.
    2. Convening stakeholders to develop RA programs, including previous sector strategies or sectoral work.
    3. Other key functions that are necessary to successfully build and scale RA programs.

SECTION 4: PROJECT DESIGN

  1. Please select the target occupations for the project. Select all that apply. Clinical occupations targeted for this project may be subject to service commitment requirements. Refer to page 7 in the Pathways to Health Careers program policy to review information about the service commitment.
    • Central Sterile Processing Technician
    • Magnetic Resonance Imaging (MRI) Technician
    • Radiation Technologist
    • Cardiovascular Technician
    • Surgical Technician
    • Behavioral Health Technician
    • Patient Care Technician
    • Community Health Worker (CHW)
    • Certified Nursing Assistant (CNA)
    • Certified Peer Recovery Specialist (CPRS)
    • Alcohol and Drug Counselor
    • Emergency Medical Technician (EMT)/Paramedic
    • Other. Please describe.
  2. Describe the rationale for each target occupation, highlighting recent data and/or labor market analysis from the past two years and specific to the region that will be served.
  3. Describe the participant groups identified for the program and why they were selected, including a focus on local participants (e.g., individuals who are unemployed or underemployed, high school students, veterans, returning citizens, SNAP recipients, long-term unemployed, incumbent workers). Include an explanation of why your chosen population is appropriate for the apprenticeship program.
  4. Describe how your project will help participants live, stay, and thrive in rural Maryland communities while strengthening the rural health workforce. Be specific about the strategies, supports, and opportunities that will promote long-term career and community retention. Refer to page 7 in the Pathways to Health Careers program policy to review information about the service commitment.
  5. How will participants be recruited?
    1. Describe the tailored recruitment strategy that will be used for each participant group outlined above.
    2. What recruitment methods will be used?
    3. Which partners will be responsible for recruitment and what will their roles be?
  6. Which of the following activities will your project undertake? Please review page 9 of the Pathways to Health Careers program policy regarding allowable activities. Select all that apply.
    • Identifying existing healthcare apprenticeship programs poised for expansion
    • Identifying in-demand apprenticeable healthcare occupations
    • Helping programs develop or revise standards, occupation-specific on the job learning, and Related Instruction materials
    • Identifying training partners and providers
    • Supporting programs to secure approval by the Maryland Apprenticeship and Training Council for apprenticeship program registration
    • Helping programs onboard and/or recruit new employers into apprenticeship program(s)
    • Providing technical assistance to employers to utilize Registered Apprenticeship as a tool for recruitment and to redesign career pathways to maximize the number of Registered Apprentices
    • Supporting Sponsors and employers to register apprentices into the program
    • Helping programs track and support apprentices through completion, as appropriate and applicable
    • Other. Please describe.
  7. Describe the anticipated wage progression for apprentices, including the length of time for the apprenticeship program.
  8. What criteria will be used to determine candidates’ readiness and fit with the apprenticeship program?
    1. Describe the anticipated processes for:
      1. Assessment
      2. Screening
      3. Selection
  9. How will workplace mentors be selected?
  10. How will workplace mentors be trained?
  11. How will employers ensure apprentices receive exposure to all required competencies?
  12. How will related technical instruction be aligned with workplace training?
  13. What quality control processes ensure training consistency across employer sites?

SECTION 5: PROJECT PARTNERS

  1. For each of the employer partners, describe:
    1. What are their specific activities or responsibilities?
    2. How many participants are they committed to hiring?
    3. Why were they selected?
  2. What agreements or MOUs are in place to formalize employer commitments?
  3. If awarded funding, detail the key strategies for recruiting additional employers to participate.
  4. What financial contributions will employers provide (e.g., wages, mentorship, equipment, training costs)?
  5. Describe the support the applying organization, as the intermediary, will provide to employer partners once the apprenticeship program has been developed and launched.
  6. How will employers evaluate apprentice performance and provide feedback?
  7. How will employers participate in program evaluation and continuous improvement once the program has been developed and registered?
  8. How will the employer partners in the consortium be engaged in identifying occupational standards and project design?
  9. For each diverse entity partner, if applicable, describe:
    1. What are their specific activities or responsibilities?
    2. Why were they selected?
  10. Describe any other partners or key stakeholders’ involvement and commitment to the project.
  11. How will the lead applicant, employer partners, diverse entity partners, and other key stakeholders work together to achieve the goals of the project?
  12. Will any partners or stakeholders be subrecipients of these grant funds?
    1. Yes
      1. List the name of the partner and how much funding they will receive.  In the budget, please include specific line items for each subrecipient.
    2. No

SECTION 6: STAFF AND ADMINISTRATION

  1. Describe the staffing and administrative structure that will support this program. Include the key roles:
    1. Program leadership
    2. Subrecipients, if applicable (individuals working at partner organizations whose jobs are being funded by this grant)
    3. Data tracking and reporting
    4. Participant support
    5. Training
    6. Fiscal management,
    7. Compliance
  2. Are any of the positions described in the previous response vacant or partially funded?
    1. Yes
      1. What is the plan and timeline for filling those positions during the period of performance, September 1, 2026 - September 30, 2027?
      2. How will continuity of services be maintained in the interim?
    2. No

SECTION 7: TIMELINE

  1. Describe your project plans for spending funds between September 1, 2026 and September 30, 2027. For each quarter, provide estimated program activities and obligation and expense totals.
    1. Quarter One: September 1, 2026 - November 30, 2026
    2. Quarter Two: December 1, 2026 - February 28, 2027
    3. Quarter Three: March 1, 2027 - May 31, 2027
    4. Quarter Four: June 1, 2027 - August 31, 2027
    5. Final Month: September 1, 2027 - September 30, 2027

SECTION 8: SUSTAINABILITY

  1. Describe how the program will continue in the absence of RHTP funding.

SECTION 9: OUTCOMES

Provide the following expected outcomes of your project.  If your project intends to focus on more than one occupation, outcomes should be provided for each occupation. If an outcome is not relevant to your project, please enter “N/A.”
Example:
Central Processing Technician - 24
Cardiovascular Technician - 8
Surgical Technician - 16

  1. Number of new registered apprenticeship programs developed:
  2. Number of employers registered with MD Labor as hosts for apprentices: 
  3. Total number of apprentices registered (total = a +b):
    1. Number of high school level apprentices registered (refer to pages 4 - 5 in the program policy to review information about High School Level of Registered Apprenticeship).
    2. Number of adult apprentices registered.
  4. Number of apprenticeship completions, as applicable:
  5. Detail other outcomes the project will track.
  6. Describe the process by which the applicant intends to track. Include any databases or tools that will be utilized.
    1. Apprentice hours
    2. Wages
    3. Competency attainment

SECTION 10: ASSURANCES

The applicant hereby affirms and certifies that it will comply with all applicable regulations, policies, guidelines, and requirements of the MD Labor and the State of Maryland as they relate to the application, acceptance, and use of funding for the Program. The applicant further affirms and certifies that:

  • It possesses legal authority to apply for the grant, i.e., an official act of the applicant’s governing body has been duly adopted or passed, authorizing filing of the application, including all understandings and assurances contained therein and directing and authorizing the person identified as the official representative of the applicant and to provide such additional information as may be required.
  • It will comply with applicable federal, State, and local laws regarding discrimination and equal opportunity in employment, and credit practices.
  • It will expend funds to supplement new and/or existing funds and not use these funds to supplant non-grant funds.
  • It will participate in any statewide assessment program or other evaluation program as required by MD Labor.
  • It will give MD Labor, or an authorized representative, the right of access to, and the right to examine all records, books, papers, or documents related to the grant.
  • It will assure that quarterly status reports will be submitted to MD Labor, as required.
  • It will comply with all requirements imposed by MD Labor concerning special requirements of law and other administrative requirements.
  • It will avoid any activity, employment, or business arrangement that would create an actual or apparent conflict of interest in the performance of its duties under any grant awarded. It will promptly notify MD Labor of any actual or potential conflict of interest that arises during the term of any grant awarded. Upon such disclosure, MD Labor will determine whether the conflict requires mitigation, modification, or termination of any grant awarded.

The Fiscal Agent acts on behalf of the applicant by performing all financial management duties of the grant and accepting responsibility for the proper use of grant funds. The Fiscal Agent is responsible for maintaining separate records of disbursements made on the Applicant’s behalf and disbursing those funds in accordance with the restrictions related to the grant. The Fiscal Agent takes full responsibility for managing and documenting grant expenditures, as well as submitting financial reports for the grant.
The Fiscal Agent is responsible for receiving and safeguarding grant funds. Furthermore, the Fiscal Agent is legally obligated to:

  • Maintain separate records of disbursements related to the grant;
  • Keep receipts for at least five years following closing of the grant;
  • Make financial records available to the State of Maryland and its representatives upon request;
  • Disburse funds in accordance with the purpose of the grant application; and
  • File the final financial report at the conclusion of the grant.

By checking this box, I certify that I have read and reviewed all required application materials and supporting documents, including the sections describing the rural service commitment and provider payment requirements in the FAQ. I understand the terms and conditions of the service commitment and acknowledge that, if selected, I will be expected to fulfill these requirements. I certify that the information provided in this application is true and complete to the best of my knowledge.
By checking this box, I certify that I have read and reviewed the Centers for Medicare and Medicaid Services (CMS) documents below and agree to and comply with RHTP terms and conditions included in the following documents available on the Maryland RHTP Solicitation page:

  • CMS Notice of Funding Opportunity (NOFO)
  • CMS NOFO -  Frequently Asked Questions
  • Maryland Notice of Award Terms and Conditions
  • CMS RHTP Frequently Asked Questions—April 2026

SECTION 11: REQUIRED DOCUMENTS

The following documents must be uploaded for the lead applicant.

  • A Certificate of Good Standing with the Maryland State Department of Assessments and Taxation. A screenshot of the organization's status is acceptable.
  • A completed and signed W-9 form
  • A completed and signed Conflict of Interest Affidavit and Disclosure form
  • If tax-exempt pursuant to I.R.C. 501(c), a copy of official notice of tax-exempt status from the IRS

The following documents must be uploaded specific to the project.

  • A completed budget template
  • At least one letter of commitment from employer partner
  • Letters of commitment from any diverse entity partners, if applicable
  • A Certificate of Good Standing for each partner receiving funds (subrecipient). A screenshot of each organization's status is acceptable.
  • A completed and signed W-9 for each subrecipient

Preview of Application Questions:
Rural Advancement for Maryland Peers - Allied Health

SECTION 1: COVER PAGE

For the following questions, provide the requested information about the lead applicant organization.

  1. Lead Applicant Organization’s Name
  2. Organization Street Address
  3. Primary Contact First and Last Name
  4. Primary Contact Position Title
  5. Primary Contact Email
  6. Primary Contact Phone
  7. Organization Federal Employer Identification Number (FEIN or EIN)
  8. Organization Type. Select all that apply.
    • Local Workforce Development Board
    • Local Health Department
    • Hospital Organization/Employer
    • Institutions of Higher Education
    • Training Provider
    • Local Education Agency
    • Career and Technical Education (CTE) program
    • Industry Association
    • Registered Apprenticeship Sponsor
    • Local and Regional economic development entity
    • Other organization:
  9. Which of the following counties will your project serve. Select all that apply.
    • Allegany
    • Calvert
    • Caroline
    • Carroll
    • Cecil
    • Charles
    • Dorchester
    • Frederick
    • Garrett
    • Harford
    • Kent
    • Queen Anne's
    • St. Mary's
    • Somerset
    • Talbot
    • Washington
    • Wicomico
    • Worcester
  10. List all employer partners that have provided a letter of commitment for this project. At least one is required.
  11. If applicable, list all diverse entity partners that have provided a letter of commitment for this project. Note: diverse entity partners are not required but are strongly encouraged.
  12. Amount of funding requested. Cannot exceed $200,000:
  13. Leveraged Resources - List the total value of cash or in-kind contributions committed by partners or the applicant to support the project.

SECTION 2: EXECUTIVE SUMMARY

  1. Provide a clear and concise summary of the project that explains the need, goals, activities, timeline, and key partners involved. Maximum 500 words.

SECTION 3: APPLICANT EXPERIENCE

  1. Provide a brief profile of the lead applicant organization. Maximum 500 words
    1. How long has your organization been active?
    2. What is the organization’s mission?
    3. What population(s) are served?
  2. If your organization has managed a project that is similar in scope, please describe the final outcomes of that project. If not applicable, please share relevant experience that makes your organization an ideal candidate for an award.

SECTION 4: PROJECT DESIGN

  1. Please select the target occupations for the project. Select all that apply. Clinical occupations targeted for this project may be subject to service commitment requirements. Refer to page 7 in the Pathways to Health Careers program policy to review information about the service commitment.
    • Community Health Worker 
    • Certified Nursing Assistant (CNA)
    • Patient Navigator
    • Psychiatric Aides and Technicians
    • Direct Support Professional (DSP)
    • Home Health and Personal Care Aide
    • Certified Peer Recovery Specialist (CPRS)
    • Other healthcare occupations for which applicants can demonstrate demand via labor market analysis

      Please enter the occupation(s):________

  2. Provide a list and brief description of all training and/or coursework that will be offered.
  3. Describe your organization's plan to ensure participants complete all necessary:
    1. Training
    2. Service or practicum hours
    3. Supervision hours
    4. Examination
    5. Obtaining credential or license
    6. Any other requirements for credentialing/licensure
  4. Describe your plan for providing supportive services that will reduce barriers to the recruitment, retention, employment, and/or advancement of participants.
  5. Describe the rationale for selecting the occupations your project will focus on. Include recent data and/or labor market analysis from the past two years and specific to the counties or region of focus to support the need for your project.
  6. Describe the participant groups and local talent identified for the program (e.g., recent graduates, veterans, practitioners who are currently living and/or working in rural areas or those who are from rural areas and are looking to return home, spouses and immediate family members of practitioners.) Include an explanation of why your chosen population is appropriate for the program.
  7. Describe how your project will help participants live, stay, and thrive in rural Maryland communities while strengthening the rural health workforce. Be specific about the strategies, supports, and opportunities that will promote long-term career and community retention. Refer to page 7 in the program policy to review information about the service commitment.
  8. How will participants be recruited? Describe the tailored recruitment strategy that will be used for each participant group outlined above.
    1. What recruitment methods will be used?
    2. Which partners will be responsible for recruitment and what will their roles be?

SECTION 5: PROJECT PARTNERS

  1. For each of the employer partners, describe:
    1. What are their specific activities or responsibilities?
    2. How many participants are they committed to hiring?
    3. Why were they selected?
  2. For each of the diverse entity partners, if applicable, describe:
    1. What are their specific activities or responsibilities?
    2. Why were they selected?
  3. Describe any other partners or key stakeholders’ involvement and commitment to the project.
  4. How will the lead applicant, employer partners, diverse entity partners, and other key stakeholders work together to achieve the goals of the project?
  5. Will any partners or stakeholders be subrecipients of these grant funds?
    1. Yes
      1. List the name of the partner and how much total funding they will receive here. In the budget, please include specific line items for each subrecipient.
    2. No

SECTION 6: STAFF AND ADMINISTRATION

  1. Describe the staffing and administrative structure that will support this program.
    1. Program leadership
    2. Subrecipients (individuals working at partner organizations whose jobs are being funded by this grant)
    3. Data tracking and reporting
    4. Participant support
    5. Training
    6. Fiscal management
    7. Compliance
  2. Are any of the positions described in the previous response vacant or partially funded?
    1. If yes, answer the following:
      1. What is the plan and timeline for filling those positions during the period of performance, September 1, 2026 - September 30, 2027?
      2. How will continuity of services be maintained in the interim?

SECTION 7: TIMELINE

  1. Describe your project plans for spending funds between September 1, 2026 and September 30, 2027. For each quarter, provide estimated program activities and obligation and expense totals.
    1. Quarter One: September 1, 2026 - November 30, 2026
    2. Quarter Two: December 1, 2026 - February 28, 2027
    3. Quarter Three: March 1, 2027 - May 31, 2027
    4. Quarter Four: June 1, 2027 - August 31, 2027
    5. Final Month: September 1, 2027 - September 30, 2027

SECTION 8: SUSTAINABILITY

  1. Describe how the program will continue in the absence of RHTP funding.

SECTION 9: OUTCOMES

Provide the following expected outcomes of your project. If your project includes more than one occupation, outcomes should be provided for each occupation. If an outcome is not relevant to your project, please enter “N/A.”
Example:
Total number of individuals to enroll in training
Certified Nursing Assistant training- 15
EMT training - 5
Community Health Worker training - 7

  1. Total number of individuals enrolled in training/education
  2. Total number of individuals to complete the entirety of the required training/education
  3. Total number of individuals to obtain a credential or license
  4. Total number of individuals to obtain unsubsidized employment (if not for a subsidy, would the person be able to maintain employment with their employer)
  5. Average hourly wage of employed individuals
  6. Please describe how the lead applicant will collect and track required data for project outcomes. Include any databases or tools that will be utilized.

SECTION 10: ASSURANCES

The applicant hereby affirms and certifies that it will comply with all applicable regulations, policies, guidelines, and requirements of the MD Labor and the State of Maryland as they relate to the application, acceptance, and use of funding for the Program. The applicant further affirms and certifies that:

  • It possesses legal authority to apply for the grant, i.e., an official act of the applicant’s governing body has been duly adopted or passed, authorizing filing of the application, including all understandings and assurances contained therein and directing and authorizing the person identified as the official representative of the applicant and to provide such additional information as may be required.
  • It will comply with applicable federal, State, and local laws regarding discrimination and equal opportunity in employment, and credit practices.
  • It will expend funds to supplement new and/or existing funds and not use these funds to supplant non-grant funds.
  • It will participate in any statewide assessment program or other evaluation program as required by MD Labor.
  • It will give MD Labor, or an authorized representative, the right of access to, and the right to examine all records, books, papers, or documents related to the grant.
  • It will assure that quarterly status reports will be submitted to MD Labor, as required.
  • It will comply with all requirements imposed by MD Labor concerning special requirements of law and other administrative requirements.
  • It will avoid any activity, employment, or business arrangement that would create an actual or apparent conflict of interest in the performance of its duties under any grant awarded. It will promptly notify MD Labor of any actual or potential conflict of interest that arises during the term of any grant awarded. Upon such disclosure, MD Labor will determine whether the conflict requires mitigation, modification, or termination of any grant awarded.

The Fiscal Agent acts on behalf of the applicant by performing all financial management duties of the grant and accepting responsibility for the proper use of grant funds. The Fiscal Agent is responsible for maintaining separate records of disbursements made on the Applicant’s behalf and disbursing those funds in accordance with the restrictions related to the grant. The Fiscal Agent takes full responsibility for managing and documenting grant expenditures, as well as submitting financial reports for the grant.
The Fiscal Agent is responsible for receiving and safeguarding grant funds. Furthermore, the Fiscal Agent is legally obligated to:

  • Maintain separate records of disbursements related to the grant;
  • Keep receipts for at least five years following closing of the grant;
  • Make financial records available to the State of Maryland and its representatives upon request;
  • Disburse funds in accordance with the purpose of the grant application; and
  • File the final financial report at the conclusion of the grant.

I certify that I have read and reviewed all required application materials and supporting documents, including the sections describing the rural service commitment and provider payment requirements in the FAQ. I understand the terms and conditions of the service commitment and acknowledge that, if selected, I will be expected to fulfill these requirements. I certify that the information provided in this application is true and complete to the best of my knowledge.
I certify that I have read and reviewed the Centers for Medicare and Medicaid Services (CMS) documents below and agree to and comply with RHTP terms and conditions included in the following documents available on the Maryland RHTP Solicitation page:

  • CMS Notice of Funding Opportunity (NOFO)
  • CMS NOFO -  Frequently Asked Questions
  • Maryland Notice of Award Terms and Conditions
  • CMS RHTP Frequently Asked Questions—April 2026

SECTION 11: UPLOAD REQUIRED DOCUMENTS

The following documents must be uploaded for the lead applicant.

  • A Certificate of Good Standing with the Maryland State Department of Assessments and Taxation. A screenshot of the organization's status is acceptable.
  • A Completed and signed W-9 form
  • A Completed and signed Conflict of Interest Affidavit and Disclosure form
  • If tax-exempt pursuant to I.R.C. 501(c), a copy of official notice of tax-exempt status from the IRS

The following documents must be uploaded specific to the project.

  • A completed budget template
  • At least one letter of commitment from an employer partner
  • Letters of commitment from any diverse entity partners, if applicable
  • A Certificate of Good Standing for each partner receiving funds (subrecipient). A screenshot of each organization's status is acceptable.
  • A completed and signed W-9 for each subrecipient