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2026-2027 Racial Health Equity Legal and Policy Cohort
Application for Legal and Policy Assistance to Address Racial Health Equity
Instructions for Completing the Application Form
Thank you for your interest in participating in the Network's Racial Health Equity Legal and Policy Cohort (RHE Cohort). This program provides tailored legal and policy assistance, training, and peer learning to help organizations address systemic inequities and advance racial health equity. Please read these instructions carefully before beginning your application. Required questions are marked with an asterisk (*).
Sections
: The application is divided into three sections:
Organization Details
– Basic information about your organization, the communities you serve, and your equity commitments.
Project Details
– Information about the project or issue for which you are requesting legal and policy technical assistance, including the community impact, challenges, opportunities, and expected outcomes.
Project Leads / Contact Information
– Details for the staff who will coordinate with our team.
Stipends
: The Network has limited funds to honor community and staff time. Stipend recipients must complete an I-9 form. If interested, please describe how a stipend up to $1,000 would support participation in this project. Requesting a stipend is optional.
Assistance
: If you have questions while completing the application, please contact Sara Rogers at
srogers@networkforphl.org
.
Application Deadline
: June 26, 2026 at 5:00 PM Central Time.
Application Status
: Notifications of application status will be sent to the project leads in early August 2026.
__________________________________________________________________________________________________________________________
Section 1: Organization Details
*
1.
Organization Name
(Required.)
*
2.
Organization Type
(e.g., nonprofit, community-based organization, government agency, coalition)
(Required.)
3.
Tribal Nation (if applicable)
*
4.
City/Town
(Required.)
*
5.
State/Territory
(Required.)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia (DC)
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
*
6.
County
(Required.)
*
7.
Organization Overview
Briefly describe your mission, main programs, and the populations your organization serves/
(Required.)
*
8.
Communities Served
Describe the communities your organization generally serves, including demographics, geography, or populations experiencing systemic inequities.
(Required.)
*
9.
Racial Health Equity Commitments/Goals
Describe any goals or initiatives to advance racial health equity within your organization.
(Required.)
Section 2: Project Details
*
10.
Project/Issue Description
Briefly explain the project or issue you are seeking legal technical assistance for, including background, current stage, and relevance to your community.
(Required.)
*
11.
Primary Community of Focus
Please identify and describe the primary community or communities of focus for this project.
(Required.)
*
12.
Racial Health Equity Challenges/Opportunities
What racial health equity challenges or opportunities are you seeking legal technical assistance to address through this project?
(Required.)
*
13.
Community Involvement
Describe how the community has been engaged in shaping this project. (e.g., advisory boards, focus groups, surveys)
(Required.)
*
14.
Legal/Policy Challenges & Technical Assistance Requested
What law or policy challenges or opportunities are you seeking technical assistance on? Please describe the specific legal or policy-related support you are requesting, including any barriers you have encountered and/or key questions you hope to explore.
Note: Our team will work with selected Cohort project teams to further clarify the law and policy (and other) scopes of work.
(Required.)
*
15.
Expected Outcomes/Goals
What do you hope will change or improve as a result of this technical assistance?
(Required.)
16.
Stipend Interest
The Network has limited funds to honor community and staff time and support the participation of under-resourced organizations. Stipend recipients will be required to complete an I-9 form. If you are interested in a $1,000 stipend, please explain how you would use it to support participation in this project.
*
17.
How did you hear about this opportunity?
(Required.)
Network email and/or
Network Report
e-newsletter
Network website
Email or newsletter from another organization
Friend/Colleague
Social Media
Other (please specify)
Section 3: Project Leads / Contact Information
*
18.
Primary Project Lead #1
(Required.)
Name
Organization
Title
City/Town
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Tribal Nation (or N/A)
Email Address
Phone Number
19.
Primary Project Lead #2
Name
Organization
Title
City/Town
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Tribal Nation (or N/A)
Email Address
Phone Number
20.
Additional team members
(optional)
Thank you for completing this form. We sincerely appreciate your important work in promoting racial health equity in your community and hope to have the opportunity to work with you.
Send me a copy of my responses via email