Responsive Grant Program Application

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Be sure to read the Responsive Grants Program guidelines and instructions in the Request for Applications (RFA) carefully before beginning your application. Required fields and attachment uploads are marked with a red * (asterisk).

If you have questions, send an email to rgp@sierrahealth.org with the subject line: RESPONSIVE GRANTS PROGRAM Application Online Help.

Use Tab key or mouse click to move from field to field.  Clicking Enter will attempt to Submit an incomplete application. 

After submission you will receive an email confirmation along with a printable PDF copy of your application.

ORGANIZATION AND CONTACT INFORMATION

This section is to be completed by the IRS qualifying organization; please use the legal name as registered with the IRS. 

Organization Contact Information
Provide the two letter state or territory abbreviation.
Organization Financial Information
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CEO/Director of the Organization

The CEO/Director should be associated with the qualifying organization above.

Application Contact Information



Financial Officer of the Organization  
The Financial Officer should be associated with the qualifying organization from the section directly above.

Contract Administrator of the Organization
SPONSORED ENTITY INFORMATION 
If applying for funds through a sponsoring entity, the sponsoring entity should be the applicant organization above.  Provide information about the sponsored entity or project in the fields below. 
Provide the two letter state or territory abbreviation.
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PROJECT OVERVIEW
Project Description





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Sierra Health Foundation will consider requests up to $10,000.
Project Contact Information

Because the project has fiscal sponsor please enter a contact affiliated with the fiscally sponsored organization to be the Primary Project Contact. This person will be contacted if there are questions or updates regarding the proposal or project.  

Additional Contact 1

Additional Contact 2

Additional Contact 3

Project Geography
Please estimate in percentages the county or counties where the work will take place. The total must add up to 100%; please adjust accordingly.

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Total must equal 100%. Please adjust accordingly.
Project Population

Project Race and Ethnic Group
Estimate in percentages the race and ethnic groups that will be affected (Total must add up to 100). 

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Total must equal 100%. Please adjust accordingly.
Project Age Group 
Estimate in percentages the age groups that will be affected (Total must add up to 100).  

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Total of Age Groups must equal 100%. Please adjust accordingly.
Project Gender 
Estimate in percentages the gender groups that will be affected (Total must add up to 100). 

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Total of gender must equal 100%. Please adjust accordingly.
NARRATIVE QUESTIONS





Required Attachments
Please note:  Grant applications may not be considered if requested attachments are not included or completed. Please upload your file only once for each requirement.

Only upload your files with the final version. Uploading the same file many times will cause errors. If you must upload a new version of the file change the file name.






Use Tab key or mouse click to move from field to field.  Clicking Enter will attempt to Submit an incomplete application.

An email confirming the submission of your application will be sent to the project’s primary contact.  If you do not receive an email, please contact rgp@sierrahealth.org. 
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