Komen New England Community Grant Letter of Intent

The Letter of Intent is a requirement for the 2019-2020 Community Grant application process. The LOI will include a brief outline of the program to be funded, including who is eligible and how clients will be identified, how barriers will be addressed, how patients’ needs will be assessed, partnerships and collaborations, estimated numbers and overall budget estimate.

Applications should review and familiarize themselves with our 2019-2020 Community Grants RFA prior to completing this LOI. The RFA can be found on our website: LINK

Following the submission of this LOI, Affiliate staff will provide feedback to assist in the proposal process. Organizations will be invited to apply based on their Letter of Intent.

Questions about the Letter of Intent or the 2019-2020 Community Grants program may be directed to Ryan Tollefson at rtollefson@komennewengland.org or 774-512-0408.

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1. Organization Name

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2. Organization State

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3. Organization Contact Name

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4. Email address

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5. Phone Number

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6. Provide a brief outline of the scope of the project you are intending to fund through Komen New England’s community grant. Be sure to address:
(please limit your response to 1500 words or less)

Who is eligible for your project and how will patients be identified?

What steps will be implemented to ensure success in your project?

What barriers to breast health care will you address?

What partnerships are in place for your project?

How does your organization engage patients who may be reluctant to engage with the medical establishment?

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7. Which funding priorities will your project address?

Community Based Patient Navigation

Reducing Barriers to Care

Breast Cancer Education (that leads to measurable action)

Community Based Patient Navigation

Reducing Barriers to Care

Breast Cancer Education (that leads to action)

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8. List the service area (counties and/or cities) in which your project will have the most impact.

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9. Describe how patients’ needs will be assessed in order for navigation to take place (if applicable).

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10. Provide an estimate of the budget request you will make. As a reminder, please see the RFA for funding range recommendations. We understand these are preliminary numbers and may change before the full proposal is submitted. Please include:

Overall program budget

Amount to be requested from Komen New England

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1. Organization Name

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2. Organization State

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3. Organization Contact Name

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4. Email address

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5. Phone Number

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7. Which funding priorities will your project address? Community Based Patient Navigation Reducing Barriers to Care Breast Cancer Education (that leads to measurable action)

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8. List the service area (counties and/or cities) in which your project will have the most impact.

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9. Describe how patients’ needs will be assessed in order for navigation to take place (if applicable).

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7. Which funding priorities will your project address?

Community Based Patient Navigation

Reducing Barriers to Care

Breast Cancer Education (that leads to measurable action)