Letter of Intent Form


Baby 1st Network (BFN) is thrilled to announce a funding opportunity aimed at supporting local community organizations with budgets of $350,000 or less across the five regions of the Ohio Collaborative to Prevent Infant Mortality (OCPIM): Northwest, Northeast, Central, Southwest, and Southeast. Mini-grants of up to $1,500 each will be available. These grants are intended to fund new initiatives that assist infants in Ohio communities in surviving and thriving beyond their first birthday. Organizations are encouraged to collaborate with community members, healthcare professionals, and entities such as health departments, medical offices, and hospitals

Timeline
-Letter of Intent Format will be released Monday, February 10th, 2025
-Letter of Intent due Friday by 11:59 pm, February 21st, 2025
-Mini-Grant Application will be released on Monday, February 24th, 2025
-Regional Technical Assistance calls Friday, February 28th, 2025
-Mini-Grant Application due Friday by 11:59 pm, March 14th, 2025
-Funding Notification Friday, March 28th, 2025
-Grantee Meeting Thursday, April 3rd, 2025 @ 4:30 pm EST
-Mini-Grant Project Activities begin: Monday, April 21st, 2025
-Mini-Grant Project Activities end: Friday, May 30th, 2025

Only those who complete the Letter of Intent will receive an application for mini-grant funding. LOI forms will be released on Monday, February 10, 2025, and are due by Monday, February 21, 2025. Please complete the letter below:

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* 1. In the past 3 years, have you ever worked on an initiative with a local hospital, managed care organization, or health care professionals in your community? Y/N

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* 2. If yes, please describe the initiative(s) and organization(s) your organization partnered with:

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* 3. Are you currently involved in an initiative with a local hospital, managed care organization, or healthcare professionals in your community?

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* 4. If yes, please describe the initiative(s) and organization(s) your organization is currently partnering with:

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* 5. Please provide the name of the hospital(s) in the community you serve that provides maternity care.

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* 6. What county do you plan to serve?

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* 7. Briefly describe your proposed initiative:

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* 8. Lead Team Member

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* 9. Team Member (Required)

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* 10. Team Member (Required)

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* 11. Team Member (Optional)

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* 12. Team Member (Optional)

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* 13. Amount Requested (Up to $1,500.00)

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* 14. Are you a member of OCPIM?

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