Thank you for your interest in UMass Memorial Health – HealthAlliance-Clinton Hospital Determination of Needs (DoN) funding request for proposals.  If you have any questions, please contact 978-466-2419.

Criteria (revised as of 2022) is Based on:

• HealthAlliance-Clinton Hospital’s most current Community Health Needs Assessment
• 2022-2024 Community Benefits Strategic Implementation Plan

Tier 1 Funding Details:

• Grants of $10,000 or less.
• Final round of Tier 1 Funding. 
• Completion of online application including budget detail required.
• Fund priorities based on new priority areas and target populations.
• Cannot be for event sponsorship.
• Grantees from the previous Tier 1 Round in April not eligible for additional Tier 1 funds. 
• Does not preclude organization/agency from applying for Tier 2 funding.
• Will consider how application is to support capacity building; and diversity, equity and inclusion initiatives if project advances efforts to address priority areas.
• Capital improvement request will require landlord approval (if applicable).
• Fiscal agent needs to be clearly identified and letter of support provided (if applicable).
• Partnerships and sustainability plans are encouraged. 
• Upon receipt of the grant award, funds need to be committed within 3 months of award and spent down within 12 months.
• Additional financial information may be required before grant funds will be released.  A W-9 will be required.
• A total of $50,000 is available for this round of funding. 
   

Tier 1 (grant awards totaling $50,0000):

Public announcement – Request for proposals opening date: Tuesday, June 11, 2024

Tier 1 online application deadline: Friday, July 12, 2024

Tier 1 awards announced: by Friday, August 2, 2024
 

Tier 1 Reporting Deadlines:

Grantees Funded on 4/8/2024

Six-month reporting deadline: 9/30/24

Annual report deadline:  4/28/25

Grantees Funded on 8/2/2024

Six-month reporting deadline: 1/31/25 

Annual report deadline: 8/1/25 
 

Application Documents:

Tier 1 Application 

Note: You can begin filling out the form and if you are unable to complete it in one sitting, you can save your progress for another session by following these steps:

1. Scroll to the bottom of the form.

2. Select Save and Resume Later (the link in the gray bar just above the Submit Form button.
   A popup window asks if you are sure you want to leave this form and resume later.

3. Select the green Save and get link button.

4. The link appears within an important message on screen regarding this feature.

5. Please read the message carefully and follow its instructions.

Tier 1 Budget Form (Excel spreadsheet):  Please use this form to complete your budget. Once finalized, please save as a PDF and add as an attachment in the application.
 

Other documents to upload (as applicable):

• W-9 (blank forms are available on the IRS website)
• Letter of support by fiscal agent