2012 GRANT
APPLICATIONS AVAILABLE IN OCTOBER
If your organization provides critical supportive
services to men and women undergoing breast cancer treatment, you are
invited to submit a grant application. The 2012 grant period is January
through December 2012, and applications are due November 4, 2011. For more
information, contact Deb Ferenc at
Deb@BCFOhio.org.
Grant Guidelines
Grant Application
Grant Report
Our goal is to make the process of
applying for a grant from the Breast Cancer Fund of Ohio (BCFO) as
simple as possible. We want to insure that these public funds are used
wisely and that the funds reach the people in need and that they serve
patients in every part of the state of Ohio.
To apply for a grant, please follow these steps:
1. Determine if your organization is
eligible to apply for a grant:
a. Is a
designated 501(c)(3) or 501(c)(4) non-profit organization by the IRS
b. Filed a
Form 990 (short or long form) in the past year
c. Is
physically located and incorporated in, and serving breast cancer
patients in the
state of Ohio
d. Has an
office and staff of at least one individual
e.
Participates in ongoing education programs related to cancer treatment
and support
f. Has
a written non-discrimination policy
g.
Follows practice guidelines based on evidence-based medicine
2. Determine if you have a program that
seeks to improve access to timely treatment and
follow-up care for breast cancer
patients (organizations do not have to be limited to
these
activities):
a. Provide
temporary financial assistance to breast cancer patients in active
treatment who
live in the counties for which you request funding
b. Provide
education and application assistance to breast cancer patients regarding
availability of existing services
c. Evaluate
requests for emergency assistance on a monthly basis
3. Determine if your program for
temporary financial assistance covers these services and
provides monitoring to ensure
patients complete treatment and receive follow-up care:
a.
transportation to and from treatments
b. temporary
support of living expenses such as housing, utilities, and food
c. child care
during diagnostic and treatment procedures
d. job
training
e. mental
health services not covered by a third party
f.
assistance with treatment costs, prescriptions, and co-pays not covered
by a third party
g. costs of
participation in clinical trials that are not covered by a third party
4. If your program meets these criteria,
submit a written Grant Request to BCFO requesting funds
you project will be needed during the stated
grant period. We will evaluate it to ensure your
program
matches the guidelines for submission of a grant application.
a.
Applications will be approved at a meeting of the BCFO board of
directors. Funds will be
released within two to three weeks of the board meeting and the grantee
has signed a
release of funds contract.
b. When you
apply for funds for specific counties, you agree to help patients
undergoing
breast cancer treatment currently living in the counties you receive
funding for,
regardless of where those patients are being treated (for example, if
you are a health
provider, you cannot deny a breast cancer patient emergency funds
because that patient is
not being treated at your facility).
c. Financial
assistance is limited to expenses listed above. Requests for assistance
with
expenses other than those listed above will be submitted to the BCFO
Board of Directors
for consideration.
Evaluation Process: To insure stewardship of BCFO
funds, those receiving grant monies will be evaluated as to whether:
1. patient requests for emergency funding were
evaluated and responded to at least once a month
2. all options for reimbursement of these
expenses or eligibility for existing programs were
explored and exhausted prior to use
of BCFO funds
3. financial counseling was provided to clients
who receive the benefits of this funding
4. funds were used for only the purposes defined
above and reports have been filed to show results
Reporting: Grantees must submit a final report at the
end of the grant period, which is December 1st of the same year if
funds are released before October 1st or December 1st of the following
year if funds are released after December 1st. Report forms will be provided with the release
of funds contract.
The following demographics of breast cancer patients receiving funds
from BCFO monies will be requested in the final report. Inability to
provide these demographics will result in suspension of funding until
they have been received. We recommend adding these to your Request for
Emergency Funds Application Form for easier reporting. Be sure to
indicate that these questions are asked
solely for statistical purposes and do not affect the patients’ chances
of receiving funds. All answers will remain confidential and will be
reported only in aggregate data.
# of patients per county
# of insured vs uninsured clients
# of patients employed, unemployed
before diagnosis, unemployed after diagnosis
# of males vs females
# of patients in age ranges (0-19,
20-39, 40-59, 60 and over)
# of patients in income ranges
(poverty, low income, mid income, high income -
as determined by
patient)
# of patients in ethnicity categories
(White, Black, Hispanic, Asian, Multi-Racial, Other -
as determined by
patient)
Grantees must be willing to help promote sales of Ohio’s Breast Cancer
Awareness License Plate in their area; this will include, but not be
limited to, a link to www.BCFOhio.org on their website and literature as
well as distribution of Breast Cancer Awareness License Plate materials
at special events.
If you have questions about grants, please contact the board of
directors at
Deb@BCFOhio.org or 216.287.0355
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