| 2012 Grant Applications |
| Grant Application Standardized Forms - Fillable PDF |
| Budget Forms - Excel Document |
| Office of Health Promotion |
| Dental Sealant Grant Program |
| Application Form – PDF | Application Form – Word |
| Applications must be received by the close of business (5:00 p.m.) on April 26, 2013. |
| The Dental Sealant Grant Program assists providers of public health services to develop and to implement appropriate and feasible programs with clear and measurable objectives to provide preventive oral health care to Illinois children at high risk for dental caries. |
| Oral Health Needs Assessment and Planning |
| Application Form – PDF | Application Form – Word |
| Applications must be received by the close of business (5 p.m.) on April 26, 2013. |
| The Oral Health Needs Assessment and Planning Program assists communities to determine oral health status and to plan comprehensive oral health programs designed to meet community needs. The Division of Oral Health will provide agencies training, technical assistance and a link to the Association of State and Territorial Dental Directors (ASTDD) “Seven-Step Model” and the Division of Oral Health Supplemental Guidance. These tools facilitate a systematic data collection and analysis process that translates into an action plan. The process is completed with development of appropriate community intervention strategies and implementation of the action plan. |
| CATCH Training Academy – Application for Training Stipends |
| Application Form – PDF | Application Form – Word |
| Applications will be accepted, electronically in .pdf format, until 5 p.m. on March 1, 2013. |
| The Illinois Department of Public Health is sponsoring a three-day CATCH Training Academy April 2 - 4, 2013 in Springfield, Illinois conducted by nationally recognized CATCH Implementation Trainer Peter Crib, University of Texas School of Public Health. |
| Coordinated Approach to Child Health (CATCH) is a multi-component, evidence-based health intervention program, which builds an alliance of parents, teachers, child nutrition personnel, school staff, and community partners to teach children and their families how to be healthy throughout their lives. CATCH is a school health program designed to promote physical activity, healthy food choices, and prevent tobacco use in elementary-aged school children. The program features classroom activities, school-wide efforts to improve nutrition and physical activity and take-home material to encourage parents to participate along with their children. |
| Completion of this training academy certifies CATCH trainers to provide training to school personnel in the planning, implementation, evaluation, and sustainability of the CATCH program. |
Note: Preference for the award of this stipend will be given to:
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| We Choose Health - Worksite Wellness Technical Assistance |
| RFA Document – PDF | Application Form – Word | Budget Form – Excel |
| Application deadline: 12 p.m. CST, Friday, January 18, 2013 |
| The Illinois Department of Public Health is seeking to fund one vendor to provide technical assistance for the We Choose Health community grantees in the strategic area of Worksite Wellness. |
| Illinois Alzheimer’s Disease Research Fund Grants for FY2014 |
| FY 2014 Grant Application – PDF | FY 2014 Grant Application – Word |
| Applications will be accepted, electronically in .pdf format, until 5 p.m. on January 11, 2013 |
| The Illinois Department of Public Health, Office of Health Promotion, is accepting applications for the Alzheimer’s Disease Research Fund Grants (ADRF). The ADRF enables Illinois researchers to investigate epidemiology, etiology, pathology, diagnosis, care, treatment, evaluation, cure, social and economic impacts, or other important fields of study pertaining to Alzheimer’s disease and related disorders. Funding is granted to institutions and not to individuals. Research may be provided by one or more individuals under the authority of an institution. Research grants are also available to students, residents and fellows. The ADRF is supported by contributions made by Illinois taxpayers through their annual income tax returns. |
| We Choose Health - Technical Assistance |
| RFA Document – PDF | Application Form – Word | Budget Form – Excel | Q & A - PDF |
| Application deadline: 3 p.m. CST, Friday, August 24, 2012 |
| Information conference call, Friday, August 10, 2012, from 11 a.m. to noon. To access the call, dial 1-888-494-4032; access code 1478716075. |
| The Illinois Department of Public Health is seeking to fund 1 - 4 applications to provide technical assistance for the We Choose Health community grantees in the strategic areas of Healthy Eating and Active Living, and Healthy and Safe Built Environment. Technical assistance is requested on the specific initiatives of: Baby Friendly Hospitals, Coordinated School Health, Worksite Wellness, Complete Streets, Safe Routes to School, and Joint-use Agreements. Applicants can propose to cover one or more of the specific initiatives listed. |
| Center for Minority Health Services |
| Increasing Access to Health Care Services for Medically Underserved Minority Populations through Mobile Health Care |
| RFA Document – PDF | Application Form – Fillable PDF | Budget Form – Excel | W9 Form - Fillable PDF |
| Application deadline: 10 a.m. CST, Friday, February 15, 2013 |
| A technical assistance conference call will be held on Friday, February 1, 2013, at 10:00 a.m. for interested parties. To access the call dial 1-888-494-4032, access code – 4652155156. |
| The Illinois Department of Public Health Center for Minority Health Services is requesting proposals from health care providers that can provide preventative health screenings in an innovative and culturally and linguistically appropriate manner throughout the medically underserved areas of Illinois. The services will be provided in an environment that is non-threatening, targeted, culturally and linguistically appropriate, reality based, and tailored to ensure relevance to the circumstances and conditions of the target population through a partnership with the Wellness on Wheels Initiative and the Wellness of Wheels mobile units. Successful applicants will have demonstrated their capacity and experience in the delivery of health care services within this specific mobile health care environment. |
| Stand Against Cancer Initiative |
| RFA Document – PDF | Application Form – Fillable PDF | Budget Form – Excel | W9 Form - Fillable PDF |
| Application deadline: 4 p.m. CST, Friday, December 21, 2012 |
| Technical assistance conference call on December 6, 2012, at 10 a.m. for interested parties. To access the call, dial 1-888-494-4032; access code 4652155156. Your participation is not required to be eligible for funding. |
| The Illinois Department of Public Health, Center for Minority Health Services, is accepting applications for programs that are interested in participating in the Stand Against Cancer Initiative. The initiative is funded through state’s general revenue funding, and funds breast and cervical cancer prevention, education, outreach, and referral programs targeting communities of color - specifically programs with the capacity to reach rural, migrant farm-worker, lesbian and bisexual minority women. Programs should be unique, culturally innovative, and increase the Center for Minority Health Services’ ability to address the complexities that make these populations more vulnerable. |
| Illinois communities of Color Minority AIDS Initiative – Ryan White Care Services and AIDS Drug Assistance Program (ADAP) |
| RFA Document – PDF | Application Form – Fillable PDF | Budget Form – Excel | W9 Form - PDF |
| Application deadline: 4 p.m. CST, Wednesday, November 7, 2012 |
| Technical assistance conference call, 10 a.m. Wednesday, October 26, 2012. To access the call, dial 888-494-4032; access code 4652155156. Your participation is not required to be eligible for funding. |
| The Illinois Department of Public Health, Center for Minority Health Services, is accepting applications for programs interested in participating in the Illinois Communities of Color Minority AIDS Initiative. The Illinois Communities of Color Minority AIDS Initiative is funded through the Ryan White HIV/AIDS Treatment Program, and provides outreach and education services designed to increase minority participation in Ryan White care services and the AIDS Drug Assistance Program. |
| Brothers And Sisters United Against HIV/AIDS (BASUAH) Communities of Color Initiative |
| RFA Document – PDF | Application Form – Fillable PDF | Budget Form – Excel | W9 Form - PDF |
| Application deadline: 4 p.m. CST, Friday, September 14, 2012 |
| Technical assistance conference call, 10 a.m. Wednesday, September 5, 2012. To access the call, dial 888-494-4032; access code 4652155156. Your participation is not required to be eligible for funding. |
| The Illinois Department of Public Health, Center for Minority Health Services, is accepting applications for programs that are interested in participating in the Brothers and Sisters United Against HIV/AIDS (BASUAH) Communities of Color Initiative. The focus of the fiscal year 2013 campaign will be HIV prevention, education, testing, and care programs targeting communities of color. Additional consideration will be given to programs that provide education and testing programs for other co-infections such as gonorrhea, chlamydia, hepatitis C and syphilis. Programs should be unique and culturally innovative, sustainable, and increase the Center for Minority Health Services’ ability to address the complexities that make these populations more vulnerable. |
| Illinois HIV/AIDS Communities of Color Initiative – Special Risk Populations |
| RFA Document – PDF | Application Form – Fillable PDF | Budget Form – Excel | W9 Form - PDF |
| Application deadline: 3 p.m. CST, Friday, August 10, 2012 |
| Technical assistance conference call, Tuesday, July 31, 2012, at 10 a.m. To access the call, dial 1-888-494-4032; access code 4652155156. Your participation is not required to be eligible for funding. |
| The Illinois Department of Public Health, Center for Minority Health Services, is accepting applications for programs that are interested in participating in the Illinois HIV/AIDS Communities of Color Initiative – Special At Risk Populations. The Initiative is funded through state of Illinois general revenue funding, and funds HIV prevention, education, testing, and care programs targeting communities of color –specifically programs with the capacity to reach special at risk minority populations to include men who have sex with men, homeless, ex-offenders, sex workers, those with a history of mental illness or substance abuse, and other hard to reach populations. |
| Office of Health Protection |
| African American AIDS Response Act Funding |
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RFA – Word |
RFA Guidance – Word |
Budget Form – Excel | Board of Directors Chart – Word | 2013 Risk Group Definitions – PDF | Incidence of HIV Disease for Year of Diagnosis at 2011 – Excel | Equipment Specifications – Word |
| Application deadline: Friday, March 8, 2013, at 4 p.m. CST |
| This Request for Application (RFA) was developed by the HIV/AIDS Section of the Illinois Department of Public Health for the purpose of obtaining proposals for funding awarded from the African-American AIDS Response Act Fund. Recipient organizations must be engaged in HIV-prevention education, HIV counseling, testing and partner services or HIV/AIDS health care treatment and supportive services. A total of $1.4 million has been allotted. Grant awards will be based on availability of funding. Community-based organization and service providers meeting the criteria specified in the African-American HIV/AIDS Response Code (77 Ill. Adm. Code 691) are eligible to apply for funding. The Department anticipates15 to 20 awards. |
| Quality of Life Funding Opportunity for HIV prevention, care and support service programs for persons living with HIV/AIDS |
| Application Form – Word | Budget Form – Excel | Guidance – PDF |
| Application deadline: Friday, February 8, 2013 at 4 p.m. CST |
| The Illinois Department of Public Health is seeking to fund 4-6 organizations to provide HIV-prevention education or HIV/AIDS health care treatment and supportive services. The total appropriation for the Illinois Quality of Life Fund for FY 2014 is $300,000. Applications for the SFY2014 grant cycle are welcome from any non-profit organization except agencies already funded under Quality of Life for 2013 as these two cycles overlap for 12 months. Overall agency size will determine an organization's competitive slot in the "Request for Application" process. Organizations with an annual budget of $300,000 or less can apply for up to $100,000 and will compete with like size organizations for 50 percent of the annual fund. Organizations with an annual budget of $300,001 to $700,000 can apply for up to $175,000 and will compete with like size organizations for 25 percent of the annual fund; and organizations with an annual budget of $700,001 and above can also apply for up to $175,000 and will compete with like size organizations for 25 percent of annual fund. The grant selection process will prioritize applications that demonstrate targeting proposed services for at-risk populations in proportion to the distribution of recent reported Illinois HIV/AIDS cases among risk groups as reported by the Illinois Department of Public Health. |
| Body Art Inspection Program |
| FY 2013: Grant Application – PDF (Word) | FY 2014: Grant Application – PDF (Word) |
| The objective of this grant/project is to provide inspections for Body Art establishments throughout the Local Health Department’s jurisdiction and therefore, decrease the injuries, diseases and prolonged health issues that may occur with users of these type establishments. |
| Summer Food Program - FY 2013-2014 |
| Grant Application – PDF (Word) |
| The objective of this grant/project is to provide inspections for Summer Food sites throughout the Local Health Department’s jurisdiction and therefore, decrease the injuries, diseases and prolonged health issues that may occur with children who use these type facilities. |
| Tanning Facilities Inspection Program |
| FY 2013: Grant Application – PDF (Word) | FY 2014: Grant Application – PDF (Word) |
| The objective of this grant/project is to provide inspections for Tanning Facilities throughout the Local Health Department’s jurisdiction and therefore, decrease the injuries, diseases and prolonged health issues that may occur with users of these type facilities. |
| Office of Preparedness and Response |
| Emergency Medical Services Assistance Fund Grant Opportunities FY2014 |
| Emergency Medical Services Assistance Fund FY 2014 Grant Application and Grant Guidance - (Fillable PDF) |
| Emergency Medical Services Assistance Fund FY 2014 Regional EMS Advisory Board Grant Review Abstract – (Fillable PDF) |
| Any Illinois licensed/designated EMS participant that provides EMS service within the state of Illinois may apply for funds through their Regional EMS Advisory Committee. |
| Heartsaver AED Fund grant program for FY 2013 |
| FY 2013 Grant Application – PDF and Grant Guidance – PDF |
| Applications will be accepted, via mail only, until close of business Friday, October 12, 2012. The Heartsaver AED Fund Grant application deadline has been extended to Friday, November 9, 2012. |
| Public Act 95-0721, Heartsaver AED Fund, is for the purpose of providing matching grants for the purchase of Automated External Defibrillators (AED). Any school, public park district, municipal recreation department, conservation district, forest preserve district, college or university in Illinois is eligible to receive a matching grant from the Heartsaver AED Fund. Awards will be made to qualified applicants who demonstrate they have the funds to pay 50 percent of the cost of the AEDs for which the matching grant moneys are sought as that cost is determined by the State Master Contract. Eligible entities are limited to one matching grant from the fund. Heartsaver AED Fund Grants will be awarded to eligible applicants until funds are exhausted. All applications must be made on the Department-approved forms. |
| Emergency Medical Services Assistance Fund Grant Opportunities FY 2013 |
| Grant Guidance and Application – PDF (Word) | Grant Review Abstract - Fillable PDF *For Regional EMS Advisory Board Use Only* |
| Any Illinois licensed/designated EMS participant that provides EMS service within the State of Illinois may apply for funds through their Regional EMS Advisory Committee. All applications from providers must be submitted to their respective Regional EMS Advisory Committee by the deadline required by each Regional Committee. No applications will be accepted by the Department directly from an applicant. |
| Office of Women's Health |
| Women’s Health Mini-grant Program |
| Grant Application - PDF (Word) | Budget Forms - Excel |
| The Illinois Department of Public Health, Office of Women’s Health, is pleased to announce the availability of funds for the Women’s Health Mini-grant Program. These state funds support community activities addressing women’s and girls’ health issues. The office will be offering four mini-grant programs during fiscal year 2013. Potential applicants can select from Women Out Walking, Heart Smart for Teens, Building Better Bones or Life Smart for Women. |
| Completed applications are due to the Office of Women’s Health no later than 5 p.m. Monday, August 13, 2012, to support program activities from October 1, 2012 through June 30, 2013. For more information, please contact Sarah O’Connor-Bennett, grants manager, at 217- 524-9297. |
| Penny Severns Breast, Cervical and Ovarian Cancer Research Fund |
| The Penny Severns Breast, Cervical and Ovarian Cancer Research Fund is a special fund within the state treasury that is used for breast, cervical and ovarian cancer research grants. Revenue sources include general revenue funds, income tax contributions and gifts, as well as grants and awards from private foundations, nonprofit organizations and other governmental entities or persons. Grants support research in areas related to breast, cervical and ovarian cancer prevention, etiology, pathogenesis, early detection, treatment and behavioral sciences. Research also may include clinical trials. Although a majority of the applications submitted are bio-medical in nature, researchers in the fields of behavioral and social sciences also are encouraged to apply. |
| Carolyn Adams Ticket for the Cure Community Grants |
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| On July 6, 2005, PA 92-0120 was signed into law, creating the Illinois Carolyn Adams Ticket for the Cure Lottery instant ticket. Net revenue from the sale of this ticket will go to the Illinois Department of Public Health (IDPH), Office of Women’s Health, which will award grants to public and private entities in Illinois for the purpose of funding breast cancer research, and supportive services for breast cancer survivors and those impacted by breast cancer and breast cancer education. (This application is for community grants related to education and supportive services to breast cancer survivors and those impacted by breast cancer.) |
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Illinois Department of Public Health 535 West Jefferson Street Springfield, Illinois 62761 Phone 217-782-4977 Fax 217-782-3987 TTY 800-547-0466 Questions or Comments |