Thank you for applying for an ICAN mini grant, with funding through DMHA!  Generally awards are between $1,000 - $8,000  but  amounts will vary based on available funding, scores of each application, and how many applications are funded.

All applications are due by September 5, 5:00 p.m.  PLEASE READ THROUGH ALL INSTRUCTIONS - APPLICATIONS MISSING ANY OF THE REQUIRED INFORMATION WILL NOT BE CONSIDERED FOR FUNDING. Applications will be reviewed and scored  and awards will be made based on those scores.  Grantees will be notified by September 8th.  Please contact Lisa Hutcheson at lhutcheson@mhai.net if you have any questions before submitting your application - we will help you identify and include missing information if needed. 

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* 1. Name of Institution

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* 2. Name of project coordinator (person who will be responsible for implementing the proposed programming):

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* 3. Contact Email:

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* 4. Contact Phone Number:

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* 5. Please tell us about the need for this program - the PROBLEM you plan to address (you can use as many data sources as you need, but please include the most recent  ICAN survey data if your campus participated).  Please include at least one problem/issue you will address.

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* 6. Please tell us about the what RISK and PROTECTIVE FACTORS you are addressing. You can find more information about risk and protective factors here: Risk and Protective Factors

  Please list at least 2 risk and protective factors that your program(s) will address (the risk and protective factors listed can be used across the lifespan).

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* 7. Please tell us about the prevention, intervention, or PROGRAM(s), that you will be implementing (at least one must be evidence based and taken from NREPP,College AIM, DMHA EBP or other approved list.  If you do not include an EBP, you will not be eligible for funding). You can also include "promising practices" if you have data that shows that your program has been effective on your campus.

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* 8. Please tell us about your expected changes, or OUTCOMES, listing at least one short term outcome and one long term outcome. These outcomes must include numbers or percentages (ex: the percentage of students who can recall the 5 signs of alcohol poisoning will increase by 10%).

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* 9. Please tell us how much funding you are requesting (please be aware that all funding must be spent by June 30, 2024).

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* 10. Please provide  a detailed budget. As a reminder, NONE of the mini grant funding can be used for food, snacks, beverages (unless already part of an approved program such as a mocktail party where students are educated on BAC, drink size, etc.) OR incentives for students that are equivalent to cash (gas cards, gift cards etc.).  You CAN use this funding for "give away" items such as t-shirts, stress relief items, electronic items such as flash drives, etc.  PLEASE contact ICAN if you have questions about your budget and what the funding can be used for before you submit your budget.

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* 11. Grant recipients are required to collect and report NOMS data (sex, age, race, ethnicity, etc) for each program related activity through the ICAN data collection form.   Not collecting and reporting this data will make your campus ineligible to apply for future funding. Should you be awarded a mini grant, at least one person responsible for collecting this data will be required to watch a brief, online video on NOMS data collection and reporting.  Please list the name and email of that person here (if this person changes, please email Lisa Hutcheson and let her know).

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* 12. Please tell us what other organizations or agencies you will be partnering/working with on your campus or in your community (check all that apply):

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* 13. Should you be awarded a mini-grant, the program coordinator or someone familiar with your proposal, will be required to attend the ICAN annual meeting, which can be written into your budget to cover travel costs  ( up to $300 can be used for travel to the meeting).  Is someone from your campus able to attend this meeting to present on your grant?

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* 14. As a mini grant recipient, you will be considered a vendor of MHAI.  Please submit a W9 (even if you have submitted one in the past)

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