Grant Funding
The CAP Foundation provides grants (up to $20,000 to support) See, Test & Treat® program expenses that other grants and in-kind donations do not cover. Grant funding is only provided to 501c3 organizations. This grant typically pays for items such as exam and laboratory supplies, equipment rental, promotional materials, educational aids, interpreters, translation of materials, patient transportation, and meals (Reference: Appendix 5 in the See, Test & Treat Standard Operating Procedures).

CAP Foundation See, Test & Treat Program Grants:
CAP Foundation encourages volunteerism whenever feasible and supports See, Test & Treat programs by procuring in-kind donations of testing kits and supplies, loaner equipment whenever possible, as well as knowledge sharing in terms of running effective programs.

• Medical equipment – (clinic site only) transporting or renting equipment to perform breast and cervical cancer screening
• Laboratory support personnel – laboratory staff necessary to perform the screening/tests during the program
• Testing/screening supplies necessary to perform breast exam, mammogram, fine-needle aspiration (FNA), pelvic exam Pap testing, HPV testing, colposcopy, and LEEP
• Marketing/Promotion – promotional activities and materials, such as posters and flyers to reach target patient population
• Temporary program coordinator – to plan and coordinate program logistics
• Interpreters and translated promotional and educational material
• Patient transportation vouchers
• Supplies for children’s activities
• Healthy breakfast and lunch

As See, Test & Treat continues to expand, we look to repeat programs to become more self-sustaining and actively pursue other sources of funding in addition to securing in-kind donations in the areas of refreshments/food, supplies, promotion and publicity.

Application Submission
As See, Test & Treat continues to demonstrate its impact on communities across the United States, we are experiencing an overwhelming response to host programs in many communities.

The 2019 See, Test & Treat Request For Application period will open on Friday, June 1, 2018 and close at 5:00 pm CST on Friday, August 31, 2018. All sites wanting to host a program and apply for See, Test & Treat funding in 2019 must submit the Prescreening Questionnaire and Program/Grant Application by the August31, 2018 deadline.

The CAP Foundation Grants Committee will review all applications and award funds on behalf of the CAP Foundation Board of Directors. Programs are evaluated on their ability to:
  • Reduce barriers to cervical and breast cancer screening and follow-up care
  • Advance early detection and treatment of cervical and breast cancers
  • Provide measurable results and outcomes
  • Utilize standardized procedures set forth by the CAP Foundation
Funding Schedule
All organizations applying for See, Test & Treat program grants from the CAP Foundation must demonstrate solid financial and program management.

The grant recipient will receive 50% of the award upon official approval of the application by the CAP Foundation Grants Committee. Each program is required to submit the See, Test & Treat outcomes data worksheet no later than 30 days following the program along with documented program costs to receive the balance of the funds. This aggregate-blind program data will be used to develop a formal research protocol to track and monitor the impact of See, Test & Treat and to improve the program design.

The CAP Foundation will not provide See, Test & Treat grants to the following entities:
  • Individuals
  • Social organizations
  • Trade or business associations
  • Memorials, such as cultural exchange programs or program to benefit any particular individual, including individual travel and/ or study
Requirements of all See, Test & Treat programs:
  • CAP member pathologist program leader(s) or co-leaders
  • Underserved patient population
  • Hospital or clinic program host site/location
  • Partnership between pathologists and
    • Multispecialty Volunteer- clinical team
    • Host site for care of patients
  • Capacity to provide a pelvic and breast exam, Pap test and mammogram to eligible women.
  • Provision of same-day Pap test results delivered personally to patients on-site.
  • Provision of same day or prompt mammogram results (within one week)
A.  Program Host Information

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* 1. Name and address of Institution/Organization applying for See, Test & Treat grant

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* 2. Contact Information

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* 3. See, Test & Treat Program Location

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* 4. Facility Type

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* 5. Date(s) and duration of See, Test & Treat program

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* 6. If this is a repeat program, tell us about:

B.  Target Patient Population

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* 7. Describe the programs anticipated impact on the community:

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* 8. Describe your target population and why is there a community need.

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* 9. Does the organization already host a health fair of which See, Test & Treat would become a part of?

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* 10. Are the screenings that would be offered at this See, Test & Treat a current part of this organization's community outreach?

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* 11. Will See, Test & Treat be secondary to other events taking place on the program day?

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* 12. What is preventing patients from receiving adequate care? What data/evidence do you have supporting this?

C. Patient Outreach

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* 13. Explain the role of area social workers, social service agencies, community leaders, local health providers and/or advocacy groups in helping to support this program. How will these groups support your program; if you haven't contacted these groups please explain why.

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* 14. Indicate which of the following will be part of your patient recruitment efforts (check all that apply)

D. Screenings and Other Services

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* 15. Does the program host site have the capability to screen, provide same-day results and education to a minimum of 50 women?

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* 16. Screening goal (number of women to be served).

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* 17. What screenings or preventive services will be provided?

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* 18. What screenings or preventive services will be provided with same-day results?

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* 19. Number of estimated tests/screenings

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* 20. What patient testing guidelines will be followed for:

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* 21. Describe how you plan to ensure same-day results are available (Pap and Mammogram). If same-day results are not available, describe how you will manage the delivery of results to patients:

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* 22. If you find positive diagnosis (abnormal pap or mammogram), how will you treat the patient? Specifically:

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* 23. Describe how women will be triaged into long-term, reliable primary care and/or sustainable family care?

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* 24. Describe the role of the pathologist in planning, coordinating, and participating in the program; including specimen management, interpretation, patient education, and result reporting

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* 25. How will the required See, Test & Treat outcomes data be collected?

E. Patient Education

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* 26. Indicate what type of patient education will be offered during the See, Test & Treat program (Modes of delivery can include: Handouts, classroom lectures, interactive/touchable exhibits, translated materials and bilingual presenters).

F. Funding Request
Using the budget form, provide a detailed budget to indicate the requested funding amounts along with a corresponding breakdown of the items to be funded in each category. Grants are available up to $20,000 for each program site (specific amounts to be awarded will be determined by the CAP Foundation Grants Committee).

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* 27. Please attach your finalized budget

PDF, DOCX, DOC file types only.
Choose File
G. Need for Program Funding

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* 28. Describe your organization; explain why your organization needs this funding.

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* 29. Is this program being funded by any other organization than the CAP Foundation?

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* 30. Describe the impact on the community if this program is not funded:

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* 31. Please share any additional information that you feel should be considered in evaluating your request to host a See, Test & Treat Program (e.g. unique features or services your institution offers that would strengthen the overall program, special impact the program would have on the community, ability to gather critical data related to population health, etc.)

H. Volunteers and Supporting Partners

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* 32. Please list the names of key leadership within your institution(s) that have committed to the program along with any community partners.

Thank you for taking the time to thoughtfully prepare this See, Test & Treat program and grant application. We hope it has given you and your team a chance to think through and evaluate the specifics involved in hosting a program and that you now feel even more confident as you move forward. The CAP Foundation Strategic Programs Committee will review and reach out to you with the next steps in the See, Test & Treat hosting process. If you have questions, please do not hesitate to contact CAP Foundation Director of Programs, Marci Zerante (847-832-7656 or mzerant@cap.org).

The submission of this signed application indicates your commitment to hosting a See, Test & Treat® program. CAP Foundation staff will assist you and your team in the planning and execution of the program. If there are any changes or issues that significantly impact your ability to continue with hosting the program after this point, please inform CAP Foundation staff.

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* 33. By typing your name next to the I Accept field, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.

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