Please provide all information typed on separate paper, and number and identify each section being answered.  Please submit a cover sheet with the grant applicant’s name, mailing address, email and contact phone number.

  1. Applicant:  Please include project or program director name, any organization or business affiliation, phone number, physical address, mailing address, email and a brief description of the individual or organization applying for this grant.  Please include some background of your experience, any experience relevant to a new project, or any successes in projects like the one being proposed.

  2.  Description of Project: Please provide a detailed description of the project or program being proposed, including        this information:


  • Identify a need that will be addressed by the project or program services

  • Link the need to one of the stated goals of the First 5 Sierra Strategic Plan (see below)

  • Identify the target population to be served

  • Detail of services that will be provided

  • Explain the desired outcomes of the services to be provided

  • Discuss how you will determine success of the project


  3.  Project Budget:  Identify the amount of funding requested and show specifically how dollars will be spent. Break           down expenses and identify who will get the money for what equipment, materials, services or expenses.  Identify         any partner organizations.  If funding is from more than one source, please identify what parts of project each

      funding source will support. 


  4.  Project Timeline: Provide a specific timeline for the project or program.  When will the project or program begin

       and end?  What is the schedule for providing services?  When will materials need to be purchased?  When will

       assessment or evaluation to determine program success be conducted?


  5.  Public Relations: Grant recipients will be asked to provide participant demographics, expense reports and an

       evaluation, but First 5 Sierra would like grant recipients to keep us and the community informed of project

       activities, as well, via newspapers and social media. Let us know how you might plan to do this.



MAIL APPLICATIONS to:  First 5 Sierra, PO Box 556, Loyalton 96118

First 5 Sierra

Strategic Plan 2017-2020

Goal 1. 

Build recognition and generate support for the needs of the newborn to 5-year-old population in Sierra County, including community health education campaigns.


Goal 2. 

Educate parents on the harmful impact of smoking on their children’s lives and support tobacco cessation programs for the families of our newborn to 5-year-olds in Sierra County.


Goal 3. 

Improve access to medical and dental care for newborn to 5-year-olds and their families in Sierra County.


Goal 4. 

Maintain a system of dental screening, dental disease prevention and advanced treatment support for newborn to 5-year-olds in Sierra County.


Goal 5.

Develop and support accessible and appropriate childcare services for newborn to 5-year-olds in Sierra County, including special needs intervention and behavioral management support, and teacher training and retention. 


Goal 6.

Develop and support accessible and appropriate school readiness programs for 3-5 year olds in Sierra County, including curriculum development and curriculum enhancement—art, music, science, fitness, safety and family literacy support.


Goal 7.

Support programs for families with newborn to 5-year-olds in Sierra County that strengthen family bonds and improve access to support services.

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