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Crow Wing <br /> Grant Review Grading Criteria <br /> The Crow Wing Energized Steering Committee will meet monthly to discuss and pass funding for the <br /> healthy community grant applications. <br /> The following will be the grading criteria in which you should take into consideration for your application. <br /> 40 points Program Quality- How likely is the request to make an impact? <br /> / 5 points Does the request fit the goals and guiding principle of Crow Wing Energized? <br /> / 5 points How likely are the proposed activities to make an impact on behaviors <br /> (diet, physical activity, or mental health)? <br /> / 5 points Are the goals measurable, specific, tied to outcomes and appropriate for <br /> audience? <br /> / 5 points Is the request focused with depth/scope that is appropriate to the organization? <br /> total x 2 = total score for Program Quality <br /> 30 points Sustainability- Will the request leave a lasting impact after the funds have been spent? <br /> / 5 points Will the majority of funding be spent on development (start-up, reusable <br /> materials/equipment) or delivery (staff, travel, incentives, food) costs? (Note: <br /> higher scores should go to requests with more development costs and limited <br /> delivery costs) Does the funding request meet the SHIP guidelines? Please see <br /> the SHIP financial guide on page 16-21 for allowable and unallowable expenses. <br /> http://www.health.state.mn.us/healthreform/ship/docs/ <br /> SHIP3FinancialGuideUPDATED010614.pdf <br /> / 5 points Is the request part of a partnership and/or collaboration? <br /> / 5 points Are the budget expenses realistic and justifiable? <br /> / 5 points Are there components of the program that will increase sustainability? <br /> Does the proposal include a policy, system, or environment change to make the healthy choice the easy <br /> choice? <br /> total x 1.5 = total score for Sustainability <br /> 20 points Target Audience- Does the request target or include any of the priority populations <br /> (low socioeconomic, aging, mental health)? <br /> / 5 points <br /> total x 4 = total score for Target Audience <br /> 10 points Reach- How many people will be affected by the request? <br /> • Who is the primary audience? <br /> • Who Of anyone) is the secondary audience? <br /> / 5 points <br /> total x 2 = total score for Reach <br /> TOTAL points /100 points <br /> Crow Wing Energized Healthy Communities Grant Application Form page 5 of 6 <br />