2020 HAF Large Grant Application

  • The application form is below. All fields marked with an asterisk are required.

  • 2. Contact Information
    In the event that the staff who submitted the grant request leaves the organization during
    the grant period, the Foundation needs the contact information for a second individual who
    is responsible for the project.































  • For item 8 below, concisely state the specific outcomes or measurable objectives of the project. How will you measure the success of the project? Well-conceptualized and clearly stated outcomes and objectives will receive higher consideration. If you are unfamiliar with writing outcome or measurable objectives, you may refer to the following CDC article. Note that clicking the link will open the CDC’s PDF in a new browser tab.
    https://www.cdc.gov/std/Program/pupestd/Developing%20Program%20Goals%20and%20
    Objectives.pdf

  • Item Description & Calculation Detail $ Amount  
  • *Cannot exceed $50,000
    See Sample Budget in Appendix C of the Grant Guidance.
    Be sure to include required attachments specified in the Guidance

    THE APPLICATION MUST BE SUBMITTED ONLINE. ONCE COMPLETED, THE REPORT MUST
    BE SUBMITTED ELECTRONICALLY BY PRESSING THE “SUBMIT” BUTTON AT THE BOTTOM
    OF THIS FORM. YOU WILL RECEIVE AN ELECTRONIC CONFIRMATION OF RECEIPT.

    After clicking the “Submit” button below, a notification email, along with a link to a PDF of this form submission, will be sent to the email that you’ve entered into the “Email for primary contact person” field. However, the PDF can only be accessed from the same computer that was used to submit this form. This is a security measure to prevent unauthorized downloads. Therefore, if you are submitting this form on behalf of someone else and have input their email address into the “Email for primary contact person” field, then they will need to email the PDF link to you so that you can access it from your computer.

    If after submitting the form you don’t receive a notification email in your Inbox, then please check your spam folder and whitelist the email address “info@hemophiliaalliancefoundation.org”. YOU ARE RESPONSIBLE FOR MAKING SURE
    YOU RECEIVE THIS ACKNOWLEDGEMENT OF RECEIPT.

  • Please attach the required document below.

    Note: your document MUST be in PDF format. Attaching files in another format will result in an error screen.

  • Accepted file types: pdf, jpg, jpeg.

  • Accepted file types: pdf, jpg, jpeg.

  • Accepted file types: pdf, jpg, jpeg.

  • Accepted file types: pdf, jpg, jpeg.

  • Accepted file types: pdf, jpg, jpeg.

  • To submit your application, click the “Submit” button below. If you’d like to save your progress and continue the application later, click the “Save and Continue Later” link. Doing so will take you to a page that will display a unique link. You’ll need this link to return to your application. You can copy and paste the link into a word processing document for safe keeping or you can have it emailed to an email address of your choosing.

    Note that clicking the “Save and Continue Later” link will save all of your progress except for the file attachments. Those need to be attached just prior to submitting the application.

    Note also that if someone other than yourself needs to sign the application, you need only send them the unique Continue link and they’ll then be able to access the form and sign it. They can then either click the “Save and Continue Later” link – at which point you can return to the form using the Continue link – or click the “Submit” button.