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Partnership Development Award Application
Your name
Your email address
Your Phone Number
Your Title
Your Organization
Organization Summary
Briefly summarize your organization, its mission, and its work on population health in Southern New Jersey, who will be the point person for the proposed partnership, and their role in the organization. The summary should also include a brief history of the organization’s roots in their community and South Jersey.
Purpose of Partnership
Briefly summarize the logic for pursuing partnership development and how the partnership would further your work and, if applicable, other organizations involved in the partnership.
Impact of Partnership
Briefly summarize the specific outcomes and deliverables you have in forming the partnership. Please consider including an application for 2025 SJIPH research grants as a potential deliverable.
Simple Budget
Briefly summarize how you anticipate using the funds. This can include putting funds towards a staff member’s time to work on partnership development or stipends for individuals in the partnership. The budget should be written as prose, and include expected expenditures within the following categories: a) internal staff time (time towards existing staff costs, or stipends for staff to work on the partnership), b) travel and meeting costs to cover training, meetings with higher education representatives, meals for meetings, or conference costs, c) stipends for faculty in the partnership, d) other costs of the partnership.
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