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 978-466-2419.

Criteria (revised as of 2022) is Based on:

• HealthAlliance-Clinton Hospital’s most current Community Health Needs Assessment
• 2022-2024 Community Benefits Strategic Implementation Plan

Tier 2 Funding Details:

• Grants of $50,000 or less a year (can apply for up to three years)
• Annual allocation of funds by committee
• Letter of Intent and budget details (online application) are required; full applications by invitation only
• Additional grant in FY’23 and FY’24 would be available to Tier 2 grantees
• Fund priorities based on new priority areas and target populations
• Linkages to policy, systems, environmental change
• All applications must have an equity approach
• Tier 3 recipients not eligible to apply if actively receiving funds (prior Tier 1 and 2 are eligible)
• Additional financial information may be required before grant funds will be released.  A W-9 will be required.

Tier 2 Important Dates and Deadlines:

Please check back shortly for FY 24 application deadline dates.

Tier 2 Reporting:

T2 Reporting on February 9, 2024

Application Documents:

Tier 2 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 2 Budget Form (excel spreadsheet):  please use this form to complete your budget. Once finalized, please save as a PDF and add as an attachment in the application form– live link

Other documents to upload (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