Join us - Next Era Louisiana

Organization Name(Required)

Name of Person Writing Grant(Required)

If funded, person responsible for management and implementation of grant(Required)

Organizational Tax ID Number(Required)

Mailing Address (for Checks):(Required)

Physical Address (for anything that needs to be shipped, if your mailing address is a PO BOX)(Required)

Phone number(Required)

Fax Number(Required)

Email Address(Required)

AUTHORIZATION INFORMATION

Person Authorized to Sign Contract(Required)

ORGANIZATION

Type of Organization (SELECT ALL THAT APPLY)

PROJECT SERVICE AREA

What Public Health Region will this grant serve?

What Parish(es) will this grant serve?(Required)

Does your organization have capacity to host meetings or trainings?(Required)

If so, what is the capacity limit?(Required)

APPLICANT CAPACITY

TFL is searching for grantees that have demonstrated ability and experience in community organizing, community planning, health education and promotion, coalition building, advocacy, policy, training, and/or tobacco prevention and control.

Priority will be given to applicants who engage youth aged 13-18 in current programming, promote youth advocacy participation and engagement, and have the ability to provide transportation to and from required activities.

Mission and purpose.
Specify the type of organization (school, church, or other).
Staffing and administrative capacity.
Experience in health education and promotion, advocacy, policy, training, and/or tobacco prevention and control.
Experience with youth ages 13-17 and with youth advocacy, participation and engagement, and outcomes in your community.
Experience with community event planning. Please provide examples; include purpose/call to action, outcomes, challenges, etc.
Capacity and plan for providing transportation to approximately 8 youth to and from required activities.
What your organization would like to gain from this project at the end of the grant period.

Applicant Response: (Upload your information below in word or PDF document. Please limit your response to 5 pages double-spaced text.)

Drop files here or

Accepted file types: word, excel, ppt, pdf, Max. file size: 50 MB, Max. files: 1.

APPLICATION APPENDIX CONTENT SHEET

Please provide: IRS Letter showing your organizations 501c3 ta exempt status High Schools must provide their IRS 990 report Your organization's proof of liability insurance

Drop files here or

Accepted file types: word, excel, ppt, pdf, Max. file size: 50 MB.

If your organization does have a Diversity, Equity and Inclusion (DEI) statement, please upload it here.

Drop files here or

Accepted file types: word, excel, ppt, pdf, Max. file size: 50 MB, Max. files: 1.

If your organization does have a Safe Space or similar policy, please upload it here.

Drop files here or

Accepted file types: word, excel, ppt, pdf, Max. file size: 50 MB, Max. files: 1.

First Name(Required)

E-Mail Address(Required)

JOIN
NEXT ERA

Application:

AUTHORIZATION INFORMATION

ORGANIZATION

PROJECT SERVICE AREA

APPLICANT CAPACITY

APPLICATION APPENDIX CONTENT SHEET

Stay Informed

Resources

JOINNEXT ERA

Application:

AUTHORIZATION INFORMATION

ORGANIZATION

PROJECT SERVICE AREA

APPLICANT CAPACITY

APPLICATION APPENDIX CONTENT SHEET

Stay Informed

Resources

JOIN
NEXT ERA