COVID-19 Rolling Funding Application
As the NAFC receives and continues to develop funding opportunities for our members for COVID-19 responses, we are opening up this application for funding as opportunities become available. This application will remain open as it is rolling, and grant monies will be awarded as funding becomes available to members in good standing of the NAFC.

The following application's emergency funding would be specific to COVID-19 in the following areas:

• Telehealth

• Tests & Equipment

• Medication Access


Important Funding Information:

• Funding will be awarded in grant amounts ranging between $2,500-$10,000.

• Funding must be utilized for COVID-19 related efforts, and specifically for what is submitted through this application.


• Reporting: There will be one (1) evaluation due at the 3-month mark that will ask for information on how the funding was spent, and what kind of impact was obtained.

• Eligibility: organizations must be members in good standing of the NAFC. For more information on membership, please email ariana@nafcclinics.org

  • - -
  • BUDGET - Please tell us how you will use the funds. The budget breakdown below should ONLY include information for the requested funds.


    ***When reading from left to right, column 1 will remain blank, column 2 should contain your description of the item where the funding will go, and column 3 should indicate the amount that will be spent per item requested.
  • Item Requested Monetary Amount Requested ($)
    Total:
  • Terms & Conditions

    If granted, your grant is subject to your agreement to:

    1. Use the grant funds only as specified in the approved grant proposal.
    2. Maintain your records to show and account for the uses of grant funds.
    3. Allow NAFC access to records to verify grant expenditures and activities.
    4. Provide written acknowledgment of receipt of payments of grant funds.
    5. Repay any portion of the funds not used for the specified purposes.
    6. Refrain from use of the funds for any purpose prohibited by law.
    7. Cooperate with any efforts of the NAFC to publicize the grant award, including but not limited to photos, press releases and visits to your organization.
    8. Comply with reasonable requests for information about program activities.
    9. Reporting at the 3 month mark.