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Network for a Healthy California Funding Application Packet for Renewing Contractors

These contract documents are to be completed if your contract is due to expire on September 30, 2008.  These documents must be completed by your organization and sent to the Network by Thursday, April 3, 2008.  All document forms should be sent via email to your assigned Contract Manager and Program Manager.  Please direct questions to your Contract or Program Manager. 

  • Cover Letter (PDF)Opens a new browser window
  • Form #1: Updated Application Coversheet/Checklist for Renewing Contractors (Word)Opens a new browser window
  • Form #2: Contractor Information Form (Word)Opens a new browser window
  • Form #3: Updated Budget Cover Sheet (Excel)Opens a new browser window
  • Form #4A: Updated Budget Justification (Excel)Opens a new browser window
  • Form #4C: New Budget Justification Supplemental Travel (Excel)Opens a new browser window
  • Form #4D: Budget Justification -non-Network Sponsored Travel/Conference (Word)Opens a new browser window
  • Instructions for Form #3 & 4: Updated Budget Justification Instructions (PDF)Opens a new browser window
  • Form # 4: Sample New Budget Justification and Cover Sheet Sample (Excel)Opens a new browser window
  • Form #5: New Scope of Work (Word)Opens a new browser window
  • Form #5: New Scope of Work (Excel)Opens a new browser window
  • Form #5F: Youth Empowerment (Word)Opens a new browser window
  • Form #5F: Youth Empowerment (Excel)Opens a new browser window
  • Instructions for Form #5: Scope of Work Instructions (Word)Opens a new browser window
  • Form#6A: Updated Project Summary (Word)Opens a new browser window
  • Form#6B: Updated Project Summary (Excel)Opens a new browser window
  • Instructions for Form #6: Project Summary Instructions (PDF)Opens a new browser window
  • Sample Form #6A: New Project Summary Sample (Word)Opens a new browser window
  • Sample Form #6B: New Project Summary Sample (Excel)Opens a new browser window
  • Form #7A: SHAPE Letter of Commitment (Word)Opens a new browser window
  • Form #7B: SHAPE Partner Data Form (Word)Opens a new browser window
  • Form #8: Memorandum of Understanding (Word)Opens a new browser window
  • Form #9: Updated LOQI Form Renewing (LIA)Opens a new browser window
  • Form #9: Updated LOQI Form Renewing (NIA)Opens a new browser window
  • Form #10: New Subcontractor Budgets (Word)Opens a new browser window
  • LIA Collaboration and Partnering Guidelines (Word)Opens a new browser window
  • Allowable and Unallowable Chart (PDF)Opens a new browser window
  • Qualifying Census Tracts (Excel)Opens a new browser window
  • LIA Position Descriptions 2008 (Excel)Opens a new browser window
  • Quick Reference Tutorial to Using GIS to Locate Qualifying FSNE Census Tracts by Physical Address (PDF 2MB)Opens a new browser window
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    Last modified on: 12/29/2009 7:40 AM