Request for Application

The Request for Application (RFA) is built around the Affiliate’s Statement of Need which conveys the guidelines for the types of programs Komen and the Affiliate are willing to fund. The Statement of Need and RFA are both based on findings from the bi-annual Community Profile. The Statement of Need is included as part of the RFA.

The RFA also sets the rules for applying for Komen Affiliate grants, including deliverables under the grant contract, evaluation criteria, grants structure and budget and other qualifying guidelines that must be met before the proposal is sent to review.

 Eligibility requirements include but may not be limited to the following:

• Program must be located and/or provide direct services that benefit people residing within the 27 counties in the Northern Indiana Affiliate area.
• Organization must have U.S. Nonprofit-Federally Tax Exempt status.
  (This includes Educational Institutions, Non-Profit Organizations, Non-Profit hospitals, Hospital Systems, Non-Profit Religious Groups, Government Agencies and Indian Tribes)
• Submit a copy of an IRS determination letter indicating nonprofit or 501 (c)(3) tax-exempt status.
• If applicant, or any of its key employees, directors, officers or agents is convicted of fraud or a crime involving any other financial or administrative impropriety, then applicant is not eligible to apply for a grant during this current cycle and will not be eligible to apply for a new grant until the later of 12 months after the conviction or until applicant can demonstrate that appropriate remedial measures have been taken to ensure that any criminal misconduct does not recur.

PLEASE CLICK HERE TO DOWNLOAD THE 2012/2013 GRANT APPLICATION