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Request for Education Grant Applications Proposals Now Being Accepted Thanks to all the continuing support of Floridians in purchasing the “End Breast Cancer” specialty license plate as well as in the Florida Breast Cancer Foundation’s network of breast cancer supporters, survivors, and activists fighting to end breast cancer, we have invested over $5.0 million to fulfill our goal of dedicated funding for education and research programs in the state of Florida. The Florida Breast Cancer Foundation (FBCF), along with those who generously support us with their talent, time, and resources, is working to better the lives of those facing breast cancer in Florida. Grants are awarded in support of innovative education and research programs, throughout Florida. The FBCF is currently offering education grants for Florida organizations: Up to $5,000.00 for projects in a single county and up to $10,000.00 for projects provided in multiple counties that focus on education in one on one or small group settings to reach as many people as possible. Grants are available for projects that take place over a 12-month period. Important Note Funding is not available for screening, treatment programs, one-time events, conferences, symposiums, seminars, and participation as an exhibitor, presentation, or attendance at health fairs, conferences, symposiums, and seminars. All requests for education funding should be directed to the Florida Breast Cancer Foundation Education Committee. More information on funding opportunities is available at www.FloridaBreastCancer.org. 2017-18 Statements of Need and Priority Areas: 1. PRIORITY: Educate women in the areas where they need to become proactive advocates for their own breast health through Educational Workshops (i.e. pre-diagnosis, urgency after diagnosis, types of chemo, types of surgery, etc.) STATEMENT OF NEED: There is general agreement that the earlier breast cancer is diagnosed, the greater the long-term survival rate. The American Cancer Society lists the 5-year Relative Survival Rates by stage with the survival rate for stages 0 and I at 100%, II at 93%, III at 72%, and IV at 22% (http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-survivalby-stage). The National Cancer Institute Surveillance, Epidemiology, and End Results Program (SEER) 5-year Relative Survival Rates uses different terms for stages. Those that are localized or confined to the primary site has a survival rate of 98.6%. Those that are regional or spread to regional lymph nodes has a survival rate of 84.9%. Distant or where the cancer has metastasized beyond the regional lymph nodes has a survival rate of 25.9% (http://seer.cancer.gov/statfacts/html/breast.html). Education is key to understanding one's risk factors, developing breast selfawareness (become aware of the changes that might occur in their body), knowing the examination and tests that may result in a diagnosis of breast cancer, understanding the types and stages of breast cancer, and knowing the treatment options. Throughout the process, education is key for a person diagnosed with breast cancer to understand which treatment will fit his/her specific life needs. 2. PRIORITY: Provide education to breast cancer survivors, their families, and advocates on life after or with cancer, including the “transition phase” from active treatment to survivorship. STATEMENT OF NEED: There has been a diagnosis of breast cancer and there has been surgery and treatment for the cancer. The focus of both the patient and the family has been primarily on the medical issues, in getting through surgery and treatment. Suddenly, the survivor and family are faced with the stark reality of life after treatment. How does one live with cancer or the possibility of a recurrence, and how does one transition from active medical treatment to survivorship? All too often the psychosocial effects of the diagnosis, surgery, and treatment overwhelm the survivor and the family. Divorce and separation rates among cancer Page 2 patients vary widely depending on whether it is the man or woman with cancer. For women with breast cancer, the divorce and/or separation rate almost doubles from 11.6% to 20.8% (http://cancernews.com/data/Article/739.asp). Beyond the possibility of separation and divorce is the effect on the whole family. In an article by Pat Edens, PhD., The Effects of Cancer on the Family from LIVESTRONG.com (http://www.livestrong.com/article/99613-effects-cancer-family/), she makes the point that "all families must go through a learning process to define the steps necessary to manage the cancer diagnosis of a loved one. The primary caregiver for the patient is most affected, but other family members also share in the stress." 3. PRIORITY: Provide education on breast health to young women and men with a focus on middle school, high school, and college ages. STATEMENT OF NEED: Finding information on breast health for adolescents is almost non-existent in the literature. In speaking to various organizations and reading recent research, teenagers and college students have increased as a targeted population for introducing educational resources on breast cancer. Adolescence, however, still remains a gray area. Schools have attempted to incorporate the breast health as part of their health courses with poor results. The recommendations appear to be consistent in many of the programs in which adolescent students in middle school "should have breast health education provided by their physicians, family discussions or in a one on one environment" (Journal of Education Teach, 2013). Promotion of breast health is an attitude that, if fostered early in life, may pay lifelong dividends. The adolescent period is a time of rapid change, physical and emotional, that provides teaching opportunities for shaping health behaviors into adulthood. Breast health programs focus on adolescent females with the premise that teaching adolescent's breast self-awareness will increase the likelihood they will continue the practice into adulthood. For example, teaching breast health may influence positive behaviors such as seeking regular professional examinations when changes in breasts are noticed (American Cancer Society, 2013; Ludwick & Gaczkowski, 2001; Ogletree, Hammig, Drolet, & Birch, 2004). In an attempt to improve early detection, preventive health services such as breast health awareness have been widely promoted among older women. However, the American Academy of Pediatrics and the American Academy of Family Physicians recommend that breast health education and self-awareness should be taught to adolescents in private offices, clinics, and high school health education classes during the preteen and teen years (American Academy of Pediatrics, 2010; American Academy of Family Physicians, 2011). 4. PRIORITY: Create and provide a method of education on late stage breast cancer diagnosis that will help reduce the percentage of these diagnoses in the areas that exceed the state of Florida average. STATEMENT OF NEED: There is a need to reduce late stage diagnosis in all counties in Florida The counties and zip codes within those counties whose residents have Page 3 rates of late stage diagnosis of breast cancer higher than the Florida statewide average should be areas that are targeted for efforts to reduce late stage diagnosis. It is clear from the statistics from three different organizations - the National Cancer Institute (SEER), the American Cancer Society (ACS), and the Metastatic Breast Cancer Network (MBCN), that those diagnosed with metastatic or late stage breast cancer have a significantly lower 5-year survival rate than those who are diagnoses with either Stage 1 or Stage 2 breast cancer. 5-Year Survival Rate Percentages by Reporting Agency by Stage SEER ACS MBCN Localized (Stage 1) 98.6% 100% 98% Regional (Stage 2) 84.9% 93% 84% Distant (Stage 4) 25.9% 22% 23% The information may be found at http://seer.cancer.gov/statfacts/html/breast.html, http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-survivalby-stage, and http://mbcn.org/education/category/survival-rates/. According to the Florida Cancer Data System (http://fcds.med.miami.edu/inc/publications.shtml), of all breast cancer diagnoses, the advanced or late stage diagnosis statewide in 2012 was 33.9%. The averages by county ranged as high as 55%. According to the data, late stage diagnosis of breast cancer is more prevalent among black women than white women. In addition, the mortality rate is significantly higher among black women under the age of 65 than white women of the same age. Those ethnic groups, particularly black women, that have a higher percentage of cases diagnosed as late stage coupled with a higher percentage of death from cases diagnosed demand special attention. Percentage of Late Stage Diagnosis by Race and Age White Black 15 - 39 53.7% 56.8% 40 - 64 37.4% 46.7% 65+ 26.9% 40.2% Age Adjusted Mortality Rate by Race and Age per 100,000 Population White Black 15 - 39 1.9 3.1 40 - 64 31.7 42.1 65+ 90.3 93.0 Application Deadline is May 1, 2017. Applications must be postmarked by this date to be accepted. Page 4 Guidelines and Instructions for Applicants The purpose of the Education Grant Program is to address the breast health and breast cancer education needs of individuals in Florida. Important Dates: February 1, 2017 May 1, 2017 July 2017 August 1, 2017 February 1, 2018 July 31, 2018 February 1, 2019 July 31, 2019 Announcement of RFP Application due - Must be postmarked no later than this date Grantees notified of funding Grant cycle begins 6 Month Progress Report Due End of Grant cycle and Final Report Due Post 6 Month Progress Report Due Post 1 year Progress Report Due Qualifications: Only Florida non-profit community-based organizations that are tax-exempt under Internal Revenue Code section 501(c)(3) and Florida governmental entities are eligible to apply for funding, e.g., Florida tax-exempt non-profit organizations, Florida tax-exempt educational institutions, Florida governmental agencies, and Indian tribes within the State of Florida. US citizenship or residency is not required. Applications must be submitted in English. Restrictions: Projects must be specific to breast health awareness and education/or breast cancer; e.g. if a project is a combined breast and other cancer project, funding may only be requested for the breast cancer portion. Services must be provided in Florida. Equipment costs, if applicable, may not exceed 15% of direct costs and should be used 100% on this project. FBCF will only cover up to $10.00 per person per meal. Review: Applications received that are complete and meeting compliance with all guidelines will be submitted for review by a panel established through the FBCF Grants Committee. Applicants will be given 5 working days to respond to any questions from the review committee. Any questions will be addressed to the project director as indicated on the application. Each grant application will be reviewed by at least three independent reviewers. During the review and scoring they will consider each of the following selection criteria: Population and Demographics: Has the proposal clearly and completely defined who the organization is currently serving and who they will be serving? Have the Page 5 demographics been identified for the individuals to be served in terms of the following: ethnicity, age, sex, whether medically underserved by area or by population, by incidence or diagnosis, mortality, and by stage of diagnosis and any other demographic information that may be relevant to the proposal? Statement of Need: Is there a clear and compelling statement of need that relates the constituent population, to be served, to norms or standards and does it identify problems confronting the constituent population that need to be addressed? Impact: How many lives will be positively affected by the education grant is of critical importance in evaluating grant proposals. For example, if a grant of $5,000 is used to educate 10 persons who, in turn, create in home visits with groups of 10 persons weekly, 100 persons each week are positively affected. Another example is that an organization with 350 members holds monthly education programs that are attended by 50 to 75 of their members thereby expanding the number of persons at these programs to a total of more than 600 even though many will have attended more than 1 program. These two examples are by no means the only way n which a meaningful and substantial impact can be achieved with the grant funds. Feasibility: Explain the objectives and activities that will be achieved within the scope of the funded project. Is the project well planned? Is the budget appropriate and follows the guidelines and requirements? Does the budget justification explain in detail the reasoning and need for the costs associated with the project? Capacity: Does the organization, project director, and his/her team have the expertise to effectively implement all aspects of the project? Is the organization respected and valued by the target population? Is it consistent with the cultural diversity of the population/demographic area to be served? Collaboration: Does this project enhance collaboration among organizations with similar or complementary goals? Are the roles of the partners appropriate and relevant? Does the continuum of care become more complete with this project and the collaborations? Sustainability: Is the project likely to be continued? Provide a first year plan that includes current and/or future sustainability of the project. Are partnerships likely to be sustained past project period? Is the impact likely to be long term without future funding? Evaluation: Does the project have a sufficient and documented plan to evaluate its impact, collaboration, and sustainability? Does the evaluation plan monitor the impact or effectiveness of the project initially and over time? Does the evaluation plan continue throughout the 12-month period after the conclusion of the grant period? Are there base line measurements and clearly defined impact goals against which the evaluation results are measured? Is the evaluation conducted in such a way that the project is modified in response to favorable or unfavorable evaluation results? Page 6 The grant application process is competitive. Whether or not an organization has received a grant in the past, funding in subsequent years is never guaranteed. Education Materials: A variety of education materials are available from American Cancer Society, Force, National Cancer Institute, Sharsheret, Susan G. Komen for the Cure, The Cleveland Clinic, and Center for Disease Control. Some items are targeted to special populations. This by no means is an exhaustive list. Before requesting funds to create new materials, applicants are strongly encouraged to contact any or all the organizations listed. We recommend that existing materials be used in any project whenever possible. Sources for Demographic Information: The following are only some of the potential sources that may be helpful in describing demographic information: National Cancer Institute http://www.cancer.gov/types/breast National Cancer Institute Surveillance, Epidemiology, and End Results Program http://seer.cancer.gov/ American Cancer Society http://www.cancer.org/cancer/breastcancer/index Metastatic Breast Cancer Network http://mbcn.org/education/category/statistics Florida Statewide Cancer Registry Florida Cancer Data System http://fcds.med.miami.edu/inc/publications.shtml Department of Health and Human Services Health Resources and Services Administration http://www.hrsa.gov/shortage/find.html Florida Breast and Cervical Cancer Early Detection Program http://www.floridahealth.gov/diseases-and-conditions/cancer/breastcancer/bccedp.html Agreements: A grant agreement will be the legal mechanism for funding. Acknowledgement of Donor Source: Each organization website and project materials must contain an acknowledgment that the funds for the project come from the Florida Breast Cancer Foundation through the purchase of the Florida "End Breast Cancer" specialty license plate and the Florida Voluntary Driver License and Auto Tag Renewal Check-off Programs funding the "End Breast Cancer" program. All printed and electronic announcements for projects and marketing materials for projects must contain FBCF Logo and an acknowledgement that the funds for the projects come from the Florida Breast Cancer Foundation through the purchase of the "End Breast Cancer" specialty license plate and the Florida Voluntary Driver License and Auto Tag Renewal Check-off Programs funding the "End Breast Cancer" program. Grant period: Grant period begins August 1, 2017 and will conclude on July 31, 2018. Payment and Reporting: The payment will be made no later than thirty (30) days after receipt of the fully executed agreement. A progress report is due at the end of six (6) months of the start of the grant period and a final report is due at the completion of the grant period. If reports do not meet the assigned deadlines, all funds may be requested to be returned to the Foundation. In addition to the final report there will be a mandatory post 6 month progress report and a 1 year post progress report to provide details on the overall effectiveness of the Page 7 funded project. An additional $500 will be made available for reimbursement once both reports are received. Letters of support and additional materials: DO NOT send additional materials (i.e. reprints, complete curriculum vitae, or letters of support). Any additional materials will not be reviewed. Confirmation of receipt of application: Application receipt confirmation will be mailed to the project director following review for compliance to guidelines. If immediate confirmation of receipt is requested, please include a self-addressed, stamped postcard that will be returned to you immediately upon receipt of the application. Please do not contact FBCF regarding the status of the application during the review period as information cannot be provided. Announcement: Announcement of grants awarded will be made in July 2017. Project directors will be notified of the outcome of the review in writing. Number of grants to be awarded: The actual number of awards will depend on the amount of funding granted per project. Applications should include and be ordered as follows: 1. Cover Page (Form Attached) Note: Signature of approving institutional personnel, if other than project director, required. 2. Abstract Page (Form Attached) 3. Project Description (MUST BE INCLUDED and DETAILED) Note: This section should not exceed five (5) typewritten pages. Font size should be no smaller than a tenpoint typeface. All areas of this section are required, MUST be labeled “a” through “l”, and MUST be included within the 5 pages. a. List the Priority Area(s) focused on in proposal b. Brief explanation of project. Identify if this is a new project or a continuation or expansion of an existing project. c. Description of the population currently being served and the population to be served by the project. d. Statement of need/ problem to be addressed. e. Description of the impact that the project will have on the constituency to be served, including how many are expected to benefit from the project. Description of how the selected priority will be affected by the project. f. Description of the feasibility of the proposed project including the description of how the funds will be used and the reasoning and need for the funds. g. Describe the expertise needed to accomplish the project and compare that required expertise to the expertise of the Project Director and the team that will be working on the project. Is this a new or ongoing activity of your organization? h. Description of other organizations or entities, if any, participating in the project. (If applicable, letters of collaboration should be included from each organization.) i. Long-term strategies for funding of the project after the initial funding. Page 8 j. How is this project unique compared with comparable projects offered in this service area? k. Use of the project's results and how they are to be disseminated. l. Description of how the project will be evaluated. Describe the interim (6-month) evaluation in detail including both the baseline evaluation and the periodic evaluation. Describe how the evaluation will be conducted at the end of the grant period and during the additional 12-months after the grant period. Describe how changes will be made based on the evaluation results. 4. Financial Information (Must be specific. Not to exceed three (3) typewritten pages). a. Budget for requested funds (Form Attached). b. Budget justification. c. Administrative salaries may not be included in direct costs. d. List of other sources of current funding for the project. 5. Biosketch form for project director and project education personnel. Note: No more than two pages per person. 6. Proof of non-profit status for applicant institution, must include EIN number. Failure to stay within page limitations as stated above will result in delayed processing and/or refusal of the application. All grant applications MUST be submitted in both the following forms: Hardcopy and Electronic. 1. Hardcopy Submission: When submitting hardcopy of the grant, please mail the grant application and all required documents together to the following address with a postmark date no later than May 1, 2017. Submit 1 hardcopy of each application. Fax copies will not be accepted. Applications should be bound by staples only. Spiral bound materials will not be accepted. Mail application and required documents to: Florida Breast Cancer Foundation Attn: Jessica Parker-Kerr, Programs Director 11900 Biscayne Blvd Suite 288 North Miami, Florida 33181 2. Electronic Submission: When submitting the grant application electronically, please email the proposal to Jessica Parker-Kerr at e-mail address: [email protected] and [email protected] Important: Failure to meet the above criteria will automatically exclude the grant application from being considered for review and, hence, funding. Any applications postmarked after the deadline will NOT be considered. Page 9 Cover Sheet Education Grant Request for Funding Project Director & Title: Institute/Organization: Address: Phone: ( ) Fax: ( ) Email: Title of Project: Total Amount Requested: Priority Area(s): Grant Period: Signature & Title of Approving Personnel: (Other than Project Director) August 1, 2017 to July 31, 2018 Date: Name & Title of Approving Institutional Personnel: (Typed) Applications Must Be Postmarked By May 1, 2017 (Photocopies of this form are acceptable) Any applications postmarked after the deadline will NOT be considered. Page 10 Abstract Sheet Project Director: Organization/Institution: Target Population: In the space below, please provide a short abstract, not to exceed 200 words, written in lay terms for release to the general public should this application be chosen for funding. Permission to Publish: Permission is hereby granted to Florida Breast Cancer Foundation to publish the above abstract should this application be selected for funding. Signature: Date: Name: (Typed) Phone Number: Page 11 Biosketch Sheet Project Director (Last Name, First, Middle) Biographical Information Information should be submitted for the project director and other personnel involved in project. ALL personnel should have a strong background in breast cancer education, science, research, etc. Please use a separate form for each person. Name: Title: Education: Begin with baccalaureate or initial professional education, such as nursing, include postdoctoral training. Institution (Indicate Location) Degree Year Conferred Field of Study Professional Experience: Please list, in chronological order, concluding with present position, previous employment, experience and honors and any previous advocacy/educational or project management experiences. Include information about your qualifications to run the project you are applying to fund. Do NOT Exceed Two (2) Pages. Page 12 Budget Sheet Total Requested Amount: Detailed Budget for Entire Grant Period from August 1, 2017 through July 31, 2018 Salaries and Honorarium: (Not to include administration or project management salaries) Supplies: (Provide Details) Equipment: (Not to exceed 15% of direct costs) Transportation: Other Expenses: (Provide Details) In-Kind Donations: (Provide Details) Total Funding Request: (Not including In-kind Donations) Page 13