GRANT HALLIBURTON FOUNDATION

SECTION 1: NEED (A-F) (15 POINTS)
This section should address the need for funding from the Texoma Health Foundation. The section should provide county, state and national statistics to support the need identified and should clearly:
- Identify the gap(s) or need(s) that currently exist in the communities that the proposed project will address
- Explain how the need or gap impacts the targeted residents
- State why funding is needed to address the problem
- Identify organizations that offer similar services and indicate whether there is collaboration, and/or explain the reason for lack of collaboration
of 15*
Please enter a value between 0 and 15.
Strengths Identified:
Weaknesses Identified:
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SECTION 2: RESPONSE (1-3) (20 POINTS)
This section should clearly explain the overall proposed project, in addition to specific activities that will take place as a result of the grant. Clearly:
- Address how the organization is proposing to respond to the need identified through the project and how it will be implemented
- Explain goals and actions/activities that will take place as a result of resources secured
of 20*
Please enter a value between 0 and 20.
Strengths Identified:
Weaknesses Identified:
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SECTION 3: IMPACT (A-E) (15 POINTS)
The application should explain how the proposed project will further the mission of the Texoma Health Foundation. The application should clearly:
- Identify THF service areas (communities, counties, etc) that will be impacted by the project
- Describe how the proposed project will improve the health of residents identified
- Identify how many residents will be directly impacted by the project
- State the impact of THF funding
- State what will happen if THF funding is not secured
of 15*
Please enter a value between 0 and 15.
Strengths Identified:
Weaknesses Identified:
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SECTION 4: EVALUATION (A-D) (10 POINTS)
The applicant will need to include a detailed description of what data will be collected and how the staff will assure reporting to determine the project’s impact on the community, as well as identify successes and/or lessons to assist future projects.
- The applicant should include a table or narrative that outlines baseline data, and processes for collection of data that will illustrate the project’s successes, and the impact on the community
- The reviewer should feel comfortable that they understand how the applicant will evaluate the effectiveness, and/or ineffectiveness of the project
of 10*
Please enter a value between 0 and 10.
Strengths Identified:
Weaknesses Identified:
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SECTION 5: RESOURCES AND CAPABILITIES (A-H) (10 POINTS)
The applicant must include a personnel chart AND a program organizational chart. It should also include narrative that clearly describes the organization’s resources and capabilities to successfully implement the proposed project. The applicant should:
- Include their organizational structure, availability of facilities and the capabilities of personnel to be contributed to the project
- The reviewer should clearly understand existing and future staff needed to implement the project as well as capabilities of the organizations to implement.
of 10*
Please enter a value between 0 and 10.
Strengths Identified:
Weaknesses Identified:
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SECTION 6: SUSTAINABILITY (A-C) (20 POINTS)
This section should address the applicant’s plans for sustaining the project beyond support requested. The application should clearly:
- Identify other grant applications that are currently pending, as well as other sources of support
- List other organizations committed to the project and the amount of funding secured from each
- Identify a plan to generate future revenue to support the proposed project
of 20*
Please enter a value between 0 and 20.
Strengths Identified:
Weaknesses Identified:
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SECTION 7: SUPPORT REQUESTED (the remainder of the application) (10 POINTS)
This section should include a budget and budget narrative that clearly explains the amount of support requested from THF for purposes of the project (In-Kind, Cash Match).
- The applicant should include a reasonable budget to support the proposed project that includes a description, amount and calculation of support for each budgeted line-item requested from THF for the purposes of the project
of 10*
Please enter a value between 0 and 10.
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OVERALL STRENGTHS FOR ENTIRE APPLICATION
OVERALL WEAKNESSES FOR ENTIRE APPLICATION
TOTAL SCORE

GRANT HALLIBURTON FOUNDATION

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