Ready to join FPE CAP?

We can’t wait to welcome our first cohort of FPE CAP members. Here’s what you’ll need to do to apply:

  1. Review the FPE CAP Request for Applications.

  2. Download and complete the application forms below.

  3. Fill out the application inquiry field at the bottom of this page to receive your unique application submission instructions.

  4. Upload your application materials to us by MONDAY, NOVEMBER 19, 2018, at 5:00 pm MT.

Application Materials

Health centers interested in applying for FPE CAP membership will need to complete and submit each of the four application pieces below. Organizations applying on behalf of multiple health centers should provide individual application pieces for each site (note that many responses within the membership application form may be duplicated across sites).


This form constitutes the main part of your application and provides us with information on your health center’s background, identified needs, and proposed plans during FPE CAP membership.

Use the attached template to provide a two-year budget & narrative explanation for the cash grant requested (between $38,000 and $100,000). Organizations applying for multiple sites may submit one integrated budget or separate budgets for each health center, though the total amount requested for all sites within an organization should not exceed $100,000. 

To prepare your contraceptive service provision report, use this template to run monthly reports from your electronic medical records for the past six months that provide specific details about your health center’s contraceptive service provision. Check out the detailed instructions and a sample report for additional guidance.

You’re almost done! Include this checklist with your application materials to indicate that you’ve completed each piece of the application and acknowledged key requirements of FPE CAP membership. 


Timeline

All application materials should be submitted to FPE on or before Monday, November 19, 2018 at 5:00 pm MT. Applicants will be notified of selection by December 7, 2018.

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Submission Link

Please complete this inquiry form in advance of the application deadline to receive instructions for securely submitting your application materials to us (you’ll have the option to submit either by email or through our encrypted cloud storage). You can expect to receive an email from us within one business day.

If you intend to apply for multiple health centers within your organization, list each health center here.

Questions?

Drop us a line, we’re here to help! Contact Caitlin Quade (caitlin.quade@hsc.utah.edu), FPE CAP Program Manager, with your questions, concerns, or ideas.