Grant Assessment Submission Form Team Member Name(Required) First Last Email(Required) Grant Funding Source(Required) Where is this grant being funded throughTitle of Grant Opportunity(Required) Grant TitleGrant Funding Amount (if known)Grant Website Deadline for Grant Application(Required) MM slash DD slash YYYY Compatible with VRR’s mission, vision, and values(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest. Something similar is already part of our strategic plan(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Grant amount is financially worthwhile, compatible with our funding needs(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Number of awards to be given/competitiveness(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Deadline to complete proposal is realistic(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Appropriate staff expertise available to write a competitive proposal(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Relationship with funder/fit with funder’s area of interest?(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Eligibility requirements (are we a good fit?)(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.If funds are received, VRR is prepared to deliver efforts outlined in proposal (staffing, space, expertise, etc.)(Required)12345678910Using a 1-10 scale, assess this grant opportunity on the following dimensions: 1 being the lowest 10 being the highest.Team Member Making Submission(Required) Team Member Primary Team Grant ServesAdminClinicalCommunity Integration / EducationPrograms grant can potentially serve H2O Peer Ambassador COPE Other (leave details in comments section) Check all that applyCommentsAdditional Comments
