Thank you for your interest in UMass Memorial Health - HealthAlliance-Clinton Hospital Determination of Needs (DoN) funding request for proposals.  If you have any questions, please contact 978-466-4094.

Tier 1 Funding Details:

• Grants of $10,000 or less.
• Rolling application reviewed/awarded quarterly.
• Completion of online application including budget detail required.
• Fund priorities based on new priority areas and target populations.
• Cannot be for event sponsorship.
• One-time/per agency/annually.
• Does not preclude organization/agency for applying for Level 2 and Level 3 funding.
• Will consider how application is to support capacity building; and diversity, equity and inclusion initiatives if project advances efforts to address priority areas.
• Capital improvement request will require landlord approval (if applicable).
• Fiscal agent needs to be clearly identified and letter of support provided (if applicable).
• Funds need to be committed within 3 months of award.
• Additional financial information may be required before grant funds will be released.  A W-9 will be required.

Tier 1 Important Dates and Deadlines:

While we will accept applications on a rolling basis, the review committee will be meeting on the following dates:

• February 3, 2023 (all applications received by January 20, 2023 will be reviewed)
• August 18, 2023 (all applications received by August 7, 2023 will be reviewed)
• November 9, 2023 (all applications received by October 30, 2023 will be reviewed)

Tier 1 Reporting:

• May Grantees: November 13, 2024
• August Grantees: February 16, 2024
• November Grantees: May 10, 2024

Application Documents:

Tier 1 Application  

Note: You have the ability to begin filling out the form and saving your progress for another session. Should you be unable to finish it in one sitting, follow these steps:

1. Scroll to the bottom of the form.

2. Click Save and Resume Later (the link in the gray bar just above the Submit Form button.
   A popup window asks if you are sure you want to leave this form and resume later.

3. Click the green Save and get link button.

4. The link appears within an important message on screen regarding this feature.

5. Please read the message carefully and follow its instructions.

Tier 1 Budget Form (Excel spreadsheet):  please use this form to complete your budget. Once finalized, please save as a PDF and add as an attachment using the link provided at the end of the online application.

Other documents to upload using the link at the end of the online Tier 1 Application Form (as applicable):.

• W-9 (blank forms are available at https://www.irs.gov/forms-pubs/about-form-w-9)
• Letter of support by fiscal agent
• Letter of support by landlord (only for capital improvements on rented commercial space)