2025-2026 TB Elimination Alliance Mini-Grant Program Request for Funding Proposal Survey

Contact Information

1.Organization(Required.)

Name of Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

2.Contract Point of Contact(Required.)

Name

Position Title

Email Address

Phone Number

3.Grants Point of Contact(Required.)

Name

Position Title

Email Address

Phone Number

Eligibility Questions

4.Are you from or working directly with organizations that serve communities at increased risk for TB?(Required.)

Yes

5.What is your type of organization? (Select all that apply)(Required.)

Community-Based Organization

Community Health Center (e.g., Federally Qualified Health Center, Look-Alike)

Other (please describe)

6.Are you applying for this mini-grant on behalf of/in partnership with another organization?(Required.)

Yes

7.If you answered yes to question 6, please describe your partnership.

8.Please describe your priority population(s).(Required.)

9.Please select your project category type. (Select all that apply)(Required.)

Community Engagement and Education

Provider Education

Quality Improvement

10.Please select the TB Elimination Alliance priority area(s) your proposal aligns with. (Select all that apply)(Required.)

Raise awareness about the link between LTBI and TB disease, address misperceptions, decrease stigma, and encourage and facilitate testing and treatment for LTBI and TB

Increase awareness of the recommended shorter treatment regimen for LTBI

Encourage providers to test and treat LTBI among populations at increased risk

Create culturally and linguistically appropriate LTBI and TB education, training and community engagement resources and activities that resonate with communities

Develop and implement a comprehensive outreach and education campaign focused on reducing the rates of TB disease among communities at increased risk

Project Narrative

Section 1: Description of Organization

11.Please provide an overview of your organization including your history, mission, membership, and priorities. (250 word limit)(Required.)

12.Please describe your organization's experience working in collaboration with other community-based organizations, health agencies, or local government entities to engage communities that experience systemic barriers to care. (250 word limit)(Required.)

13.Please describe your organization’s experience serving and addressing communities at increased risk for LTBI/TB. (250 word limit)(Required.)

14.If available, please describe any data that has been collected within your organization related to TB with communities at increased risk (e.g., geographic incidence rates, sex, age, demographics, country of origin, risk factors, assessments, etc.). (250 word limit)(Required.)

15.Please describe any innovative or unique strategies your organization has implemented to increase LTBI/TB testing, treatment, and adherence among populations at increased risk. (250 word limit).(Required.)

16.Is your organization currently receiving funding for LTBI/TB activities? If yes, please describe how your proposed activities will be complementary and not duplicative. (50 word limit)(Required.)

17.Is your organization currently receiving funding from TEA? If yes, please describe how your proposed activities will be complementary. (50 word limit)(Required.)

Section 2: Description of Project Goals, Activities, and Evaluation

18.Please describe your project goals and activities. (500 word limit)(Required.)

19.Please describe how your project goals and activities meet the needs of your community and/or organization. (250 word limit)(Required.)

20.Please describe or list expected project outputs/outcomes (e.g., # of persons reached/educated about TB, change in skills, knowledge, attitudes, behavior), and your evaluation plan for meeting your project goals. The evaluation plan must include baseline measures (e.g., initial measurement data collected prior to the project activity). (500 word limit)(Required.)

21.Please describe your internal resources or organization structure (e.g., staffing roles and responsibilities) that will support implementation of the project and goals. (250 word limit)(Required.)

22.Please describe any potential challenges or barriers your organization anticipates in implementing the proposed activities and how you plan to address them. (250 word limit)(Required.)

23.Please describe how your organization plans to sustain and build upon the proposed activities beyond the grant period. (250 word limit)(Required.)

24.Please attach a 1-page detailed timeline of your project activities.(Required.)

No file chosen

Section 3: Budget

25.Please attach an itemized budget for your project with detailed justification for proposed activities in a 8-month time period. (Please use the provided Budget Template.)(Required.)

No file chosen

Section 4: Letter of Support

26.Please attach at least one (1) letter of support from an individual/organization.(Required.)

Required for “Community Engagement and Education”, “Provider Education” and “Quality Improvement” proposals

No file chosen

Additional Information and Resources

Please email the Tuberculosis Elimination Alliance at tea@aapcho.org with any questions.

● Centers for Disease Control and Prevention (CDC) Division of Tuberculosis Elimination
● Centers for Disease Control and Prevention (CDC) Find TB Resources
● Centers of Excellence TB Training and Education Products
● National Tuberculosis Coalition of America Resources