Grant Application Forms - WellSpan Health

The Logic Model and Outcome Measurement Plan are optional for planning purposes and not required for application submission. Program outcome measurement will be developed on an individual basis with each grantee after receipt of their award.

All grant application forms should be submitted electronically to Ann Spottswood at aspottswood2@wellspan.org

Healthy People 2030 Level I Grant Application Forms

Application Checklist
Level I Overview
Level I Application
Budget Narrative Form
Budget Worksheet
Logic Model

Healthy People 2030 Level II Grant Application Forms

Application Checklist - Letter of Intent
Level II Grant Overview
Letter of Intent Application
Level II Budget Narrative Form
Level II Budget Worksheet

Healthy People 2030 ACI Grant Application Forms

Application Checklist
ACI Overview
ACI Application
Budget Narrative Form
Budget Worksheet