In the Funding Section:

Funding Opportunities

Express Outreach Awards

Express Outreach Award Application

Applications will be accepted only from NN/LM MCR members. Please see http://nnlm.gov/mcr/services/network/index.html for details about membership.

The Express Outreach Award Application is a 2-Step process. To apply, you need to fill out STEP 1: Personal/Project Information and then STEP 2 - Project Budget Information.

Let's get started!

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STEP 1 - Personal/Project Information

1. Name of Network Member Institution:
   
   
   
2. LIBID
   
   
   
3. Principle Investigator:
   
   
   
4. Position Title:
   
   
   
5. Mailing Address:
   
   
   
6. Email Address:
   
   
   
7. Telephone number:
   
   
   
8. Fax number:
   
   
   
9. Proposed start date for 12 month project (e.g. March 1, 2008):
   
   
   
10. Project Title:
    
    
    
11. Project Summary (250 words or less):
    
    
    
12. Evidence of need (include the community involvement in this determination):
    
    
    
13. Detailed Project Description:
    
    
    
14. List specific project objectives you hope to achieve:
    
    
    
15. Describe how you will sustain these objectives beyond the funding calendar:
    
    
    
16. List the numbers and types of health care professionals, librarians, and/or consumers you expect the project to reach:
    
    Example: 45 Senior Citizens, 25 Public Health Nurses, 30 AIDS Health Educators
    
    
    
    
17. Methodology with specific steps:
    
    
    
18. List name(s), address(es), website(s) (if any) and description(s) of partner organization(s) and key contact person:
    
    

    SUGGESTED FORMAT ( feel free to cut 'n' paste! )

    Contact Name:	Joan Smith, R.N., Clinic Supervisor
    Organization Name:	Our Neighborhood Clinic
    Address:	2211 Main Street
    City, State, Zip:	Our Town, CA 94321
    Website:	http://www.ourclinic.org
    Description:	Non-profit clinic providing outpatient service to primarily immigrant population. Health professionals on staff number 12 and include physicians, nurses, and health educators.

    
    
    
    
19. State how you will publicize and promote your project to the target audience:
    
    Example: Mailings, flyers/announcements, press releases, phone contacts
    
    
    
    
20. State how you will evaluate the project and measure the success for each objective:
    
    
    
    
21. I have submitted the Lead Contact's Resume to MCR at rml4@rml4.utah.edu: YesNo