Grant Alignment Checklist & Mini‑Narrative Builder for Mobile Outreach

Program Fit & Eligibility

Underserved geographic focus defined

Neighborhoods/zip codes prioritized with data on need (e.g., low access to integrative care).

Faith‑friendly, inclusive care model articulated

Spiritual care available without proselytizing; culturally responsive practices.

501(c)(3) status verified

Active IRS determination and good standing for grant eligibility.

Support letters from municipal/community partners

Letters of collaboration strengthen alignment with public health priorities.

Data privacy policy + participant consent workflow

HIPAA‑aware practices for sensitive information; clear consent script.

Outcome metrics plan

Track visits, satisfaction, spiritual distress screening, referrals, follow‑ups.

Ethical policy for recommended care kits/resources

Disclose affiliate relationships; prioritize equitable access.

Operations & Safety

Mobile unit readiness & maintenance schedule

Routine inspections; fuel/maintenance log prepared.

Volunteer onboarding & trauma‑informed training

Safety briefing, boundaries, cultural humility, crisis referral.

Secure tele‑support platform (HIPAA‑aware)

Platform with encryption; role‑based access; audit logs.

Routing & outreach schedule finalized

Days/times coordinated with local partners for maximum reach.

Liability coverage confirmed

General liability and professional coverage are active.

Data collection toolkit set

Intake forms, consent, anonymized reporting.

Budget & Impact Inputs

Outreach days per month

Please enter 1–31.

Clients per day (avg)

Please enter 5–120.

Paid staff per day

Please enter 0–12.

Staff hourly rate (USD)

/hour

Staff hours per outreach day

hours

Volunteers per day

Volunteer hours per day

hours

Care kits per client

Care kit cost (USD)

Fuel & maintenance per day

Insurance (monthly)

Tele‑support subscription (monthly)

Data plan devices

Cost per device (monthly)

Tele‑support minutes per client

min

Exclude volunteer value from cash budget

Volunteer time valued at ~$31.80/hr tracked as leverage.

Volunteer hour value: $31.80 Overhead: 10%

Evidence & Mini‑Narrative

Need Statement

Please provide a brief need statement (min 40 characters).

Approach & Activities

Please describe the approach (min 40 characters).

Partnerships

Please list partners (min 20 characters).

Impact & Learning Plan

Please describe the learning plan (min 40 characters).

Grant Alignment Checklist & Mini‑Narrative Builder for Mobile Outreach

Grant Alignment Checklist & Mini‑Narrative Builder

Grant Alignment Results & Budget Summary

Monthly Operating Budget

Impact Metrics

Cash Budget Visualization

Mini‑Narrative (Grant Ready)