Proposal template for “NIOSH Exploratory and/or Developmental Grant Program(R21)”

1. Executive summary

In 4–6 sentences, summarize who you are, the need you address, what you will do with this funding, and the outcome. Mention that you are applying to Centers for Disease Control and Prevention - ERA for this opportunity.

2. Statement of need

Define the problem with data. Show how it aligns with this program’s purpose (funding area: Health) and the population you serve.

3. Goals & objectives

State one clear goal and 2–4 SMART objectives (specific, measurable, achievable, relevant, time-bound). Tie timelines to a project period that begins after the September 2012 deadline.

4. Approach & methodology

Describe the activities, who carries them out, and why this approach will work. Reference any evidence base or prior results.

5. Eligibility confirmation

Confirm your organization matches the eligible applicant types for this opportunity and note your registrations (SAM.gov, UEI).

• State governments
• County governments
• City or township governments
• Special district governments
• Independent school districts
• Public and State controlled institutions of higher education
• Native American tribal governments (Federally recognized)
• Public housing authorities / Indian housing authorities
• Native American tribal organizations (other than Federally recognized)
• Nonprofits with 501(c)(3) status (other than higher education)
• Nonprofits without 501(c)(3) status (other than higher education)
• Private institutions of higher education
• For-profit organizations other than small businesses
• Small businesses

6. Budget narrative

Justify each major cost and tie it to the activities above. This opportunity’s award range is up to $200,000, with about 10 award(s) expected—size your request accordingly.

7. Evaluation & outcomes

Explain how you will measure success, what data you’ll collect, and how you’ll report results to Centers for Disease Control and Prevention - ERA.