10.14.05.12

.12 Application Process for Cancer Primary Prevention Grants.

An applicant for a cancer primary prevention grant shall:

A. Submit a completed application to the CCPC by the due date listed in the application packet; and

B. Include in the application packet the following information, as specified in the Department's application packet:

(1) An executive summary describing:

(a) How the grant funds will be used;

(b) What persons will be involved in the grant activities;

(c) What cancer primary prevention activities will be conducted;

(d) Whether the primary prevention activities are included in a recommendation in the Maryland Comprehensive Cancer Control Plan;

(e) What population groups will be served and in what jurisdiction groups will be served;

(f) What types of services will be offered, including education and policy initiatives:

(g) What the eligibility for services will be; and

(h) What outcome is expected as a result of the funding;

(2) A statement of the need for the cancer primary prevention intervention;

(3) A description of previous literature in the area documenting the effectiveness of the cancer primary prevention intervention;

(4) A proposed cancer primary prevention plan describing the:

(a) Estimated number of persons to be served;

(b) Goals, objectives, and activities to be conducted with the grant funds;

(c) Evaluation measures for each activity;

(d) How the grant funds will be used;

(e) Who will be involved in the plan; and

(f) What the expected results of the activity with the grant funds are;

(5) A description of how the primary prevention plan will address the goal of eliminating disparities between racial and ethnic minorities and the white population;

(6) A list of key staff to be involved in the project, including:

(a) If existing staff will be used in the project, a description of the experience of the key staff in carrying out similar cancer primary prevention activities; or

(b) If new staff will be hired for the grant, a job description of the staff that will be responsible for carrying out the project;

(7) A description of the previous experience of the applicant's organization in implementing similar cancer primary prevention activities;

(8) A timeline showing the expected start date and completion date for each activity to be conducted under the grant;

(9) An organizational chart showing:

(a) Where the activities under the cancer primary prevention grant falls within the applicant's organizational structure; and

(b) The relationship of the applicant with other organizations involved in the project;

(10) A statement that the grant funds will not be used to supplant any existing funding for this cancer primary prevention activity and, if an applicant receives funding for a similar cancer primary prevention activity a list of the funding:

(a) Source;

(b) Amount; and

(c) Period for the activity;

(11) A line item budget for the cancer primary prevention grant; and

(12) A written budget justification for each line item requested.