As part of the Strategic Prevention Framework Partnership for Success grant / Michigan Partnership to Advance Coalitions project (PFS/MI-PAC), Prevention Network (PN) via its Coalition Training and Technical Assistance Program is offering sub-awards to coalitions to increase capacity for communities to identify and address tobacco, e-cigarettes, and marijuana issues. PN will disseminate sub-awards to six coalitions to increase the number and quality of prevention strategies or promotion of prevention messages used in communities. Projects will address behavioral health within the community around tobacco, e-cigarettes, or marijuana.

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* 1. Please state your first and last name

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* 2. Email

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* 3. Phone number

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* 4. Name of your coalition

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* 5. Coalition Mission Statement

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* 6. Physical address for your coalition (Street/City/State/Zip)

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* 7. Name the area, county, or zip code your coalition will be serving with this proposal

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* 8. Does your coalition currently have a checking or saving account?

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* 9. Which priority substance(s) will your project address?

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* 10. Explain your project. Describe what will be implemented and key milestones in implementation.

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* 11. Submit your budget narrative

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* 12. How will your project be addressing the priority substance or substances you selected?

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* 13. How will success of your project be measured? What are the specific evaluation metrics?

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* 14. As an authorized authority for the above-named organization, you affirm that all information submitted here is accurate and complete. Incomplete or contradictory submissions will not be considered. You should be contacted by a Prevention Network Coordinator within two weeks of your submission. You understand that by completing this submission, Prevention Network is under no obligation to fund your proposal and any approved proposals will be subject to funds being available. If approved, you agree to submit a Financial Spending Report (FSR) for the expenses incurred. All funds must be spent by September 11, 2026. Funds will be received via ACH within one week of award notification. You will retain documentation of appropriate grant use, such as and including expense receipts and payroll filings, for the period of time that will be outlined in the award letter. In the event the full amount of the sub-award is not expended for approved project proposal, any remaining funds must be returned to Prevention Network within ten days of close of project period. You agree to submit a written summary report no more than thirty days after the completion of your proposed activities. You may also be invited to share at an annual Prevention Network celebration. You covenant to save, defend, hold harmless and indemnify Prevention Network, and all of its officers, programs, employees, and contractors from and against any and all claims, losses, damages, injuries, fines, penalties, costs (including court costs and attorney’s fees, charges, liability or exposure, however caused, resulting from, arising out of, or in any way connected with this application). You acknowledge that all award decisions are final and are not subject to appeal. By submitting this application, you certify that you have read and understand and are authorized to complete and submit this application on behalf of the Organization. You verify that the response and statements contained herein are true, accurate, and complete. You acknowledge that false and inaccurate responses and statements made on the application are grounds for immediate rejection of the application.

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* 15. Does Prevention Network have permission to use your name and likeness for promotional purposes?

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