COVID-19 LIVE Grant Application
Under this initiative community-based coalitions can apply to their local United Ways for flexible funding and additional vaccine allocations in order to bring vaccinations to the gathering places and even the doorsteps of minority and vulnerable populations (African Americans, Latinos, immigrants, refugees, people who are elderly and isolated, people experiencing homelessness, urban and rural populations living in poverty, single parents, etc.) in areas of disparity and need across the state (excluding Philadelphia county).

Municipal entities, community-based organizations, and local nonprofit health centers are invited to submit innovation plans to request funding and, if needed, additional vaccine. For example, a local Meals on Wheels might partner with their FQHC to get vaccines to seniors’ homes, a local pharmacy might partner with an African American church to bring vaccines to their location after Sunday services, or a local food pantry might partner with their hospital system and a bilingual, Latino-focused nonprofit to vaccinate people when they pick up their food in their neighborhood.

All grant activities must occur within 60 days of invoicing, which occurs at the end of each month.

Funding Range:
Minimum impact would be 20 people vaccinated for a $400 grant. Maximum would be 2,000 people vaccinated for a $40,000 grant.

Please answer the following questions in 1500 character or less about your organization. If you have questions about this form, please reach out to iruizswartz@uwp.org
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Email *
Organization Name *
Organization Address *
Is your organization a faith-based organization? *
What zip code will your event be serving? *
Organization EIN *
Contact Name *
Contact Phone Number *
Please identify the specific vulnerable population this event will serve (African Americans, Latinos, Asian Americans, Pacific Islanders, People who are elderly and isolated, People who are experiencing homelessness, People who do not have access to technology, etc.) and describe the area your event will serve. All zip codes and counties in PA are eligible except for Philadelphia county. Maximum character count is 1500. *
Please describe your organization’s cultural competence to serve this population and the specific barriers your participation will overcome (transportation, language, trust, childcare, etc.) Maximum character count is 1500. *
Name the certified vaccination partner you’ll be partnered with for this event (pharmacy, FQHC, hospital system, etc.), how many vaccinations your event will accomplish, and how many additional vaccines the vaccination partner need to complete this event (if any). Maximum character count is 1500. *
Please lay out your outreach strategy for your vaccination event(s).  List any activities the organization will undertake to get people vaccinated: door knocking, community outreach, fliers to your existing customers/clients, door to door vaccinations, etc.  Please be detailed as this work will amount for the guaranteed half of your grant award. Maximum character count is 3000. *
Are  you planning to do outreach and vaccine administration to homebound individuals? If so, please explain in detail how you are planning to identify these individuals prior to the home visit? How will you transport the vaccines? 
*
Please lay out your outreach strategy for your vaccination event(s).  List any activities the organization will undertake to get people vaccinated: door knocking, community outreach, fliers to your existing customers/clients, door to door vaccinations, etc.  Please be detailed as this work will amount for the guaranteed half of your grant award. Maximum character count is 3000.
*
Share how your organization plans to capture images, stories, etc. to help communicate the importance of vaccinations to community health and overcome vaccine hesitancy. (Funded events should generate at least one  traditional media pieces and/or social media posts per 10 vaccinations - posts must align with PA Unites Against COVID guidelines and hashtags). Maximum character count is 1500. *
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