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MIHEN Subaward Funding Request FY26

Prevention Network and the MIHEN are offering funding of up to $500 to 3 different colleges/universities/ organizations to prevent substance misuse on college campuses. Organizations that wish to utilize these funds must work with their community college/university on prevention efforts. Requests will be considered until funds are exhausted. Contact Sara Kirkpatrick at sarak@preventionnetwork.org with any questions.

If you require assistance completing this form or any other accommodation in this process, please call 517-393-6890.
1.What are you requesting funding for? (All funding should be used for professional development around substance misuse, such as attending conferences, webinars, trainings, etc.)You may select more than one response.
2.Email
3.Please state your first and last name. 
4.What is your phone number?
5.I meet the following eligibility requirements:
1. The use of funds must be used to support substance misuse prevention efforts on your campus
2. Must be located in Michigan (determined by physical address)
3. Must have a checking or savings account
4. Agree to attend at least 1 MIHEN meeting before October 1, 2026
5. Agree to have a 1:1 meeting with the MIHEN Program Coordinator before October 1, 2026
6.What is the name of your organization/college/university?
7.If you are not an employee of a college/university, what school are you working with for this project?
8.What is the physical address for your organization? (Street/City/State/Zip)
9.What is your role with the MIHEN?
10.How large is the student population on campus?
11.Is this an annual event? 
12.Have you attended this event in the past?
13.How much funding are you requesting? Please provide the breakdown of the funding. The maximum funding allowed is $500. 
14.Please provide a summary of what the funds would be used for. No more than 200 words.
15.What is the timeline for this proposal? Include start and end dates as well as when you would need to receive funds.
16.What do you expect to gain from this professional development opportunity? No more than 200 words.
17.Does your college/university have an up-to-date biannual review?
18.As an authorized authority for the above-named organization, you affirm that all information submitted is accurate and complete. Incomplete or contradictory submissions will not be considered. You should be contacted by the MIHEN 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 documentation of what the money was used for. All money not used must be returned. You will retain documentation of appropriate grant use, such as and including expense receipts, for the period of time that will be outlined in the award letter. 

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 a MIHEN meeting or the MIHEN Conference. 

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 anu 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  response and statements made on the application are grounds for immediate rejection of the application.
19.Does Prevention Network have permission to use your name and likeness for promotional purposes?