Request for Application

The Request for Application (RFA) is built around the Affiliate’s Statement of Need which conveys the guidelines for the types of programs Komen and the Affiliate are willing to fund. The Statement of Need and RFA are both based on findings from the bi-annual Community Profile. The Statement of Need is included as part of the RFA.

The RFA also sets the rules for applying for Komen Affiliate grants, including deliverables under the grant contract, evaluation criteria, grants structure and budget and other qualifying guidelines that must be met before the proposal is sent to review.

For more details on how to apply for a 2012 large grant, please click here.

2012 Large Grant Application Form

2012 Mammogram Voucher Program Grant Application Form

• Applicant must be a 501(c) organization (non-profit organization, educational institution and/or government agency) and provide proof of non-profit status if it is not already on file with the Affiliate. Checks cannot be issued to individuals; they must be issued to the 501(c)3 organization.
• Applicant must be operating within the Komen Affiliate’s service area, and funded activities (except travel) must take place within the service area.
• Funding requests should not be for a project that would normally be eligible for funding through the yearly peer-reviewed Komen Grant process (Screening Treatment Education Program / STEP grants).
• Funded activities must be consistent with and specific to the Komen mission.
• Grant applicants are restricted to a maximum combined award of $5,000 per fiscal year, per program for any type of Small Grant (Travel, Conference and/or Program Support Grant).

Small Grants Program
Project Grants provide funding for small amounts (requests less than $5,000) throughout the year. They are intended to support some of the “unexpected” costs associated with a project.
Conference Grants are intended to support local scientific or educational conferences, symposia and meetings, with an emphasis on those that enhance the interaction between the advocate, healthcare and scientific communities. Grants up to $2,500 are available.
Travel Scholarships provide travel assistance to grantees, health care professionals and advocates to attend, participate in and/or present at meetings, conferences, or symposia that would increase the community knowledge of breast health and breast cancer and facilitate the exchange of ideas and communication between the scientific and lay public. Awards up to $2,500 are available.

Small Grant Application
Small Grant Report for Travel
Small Grant Program Conference Report

For questions about the Community or Small Grant process please call Ruth Modzelewski 412.342.0500 or email rmodzelewski@komenpittsburgh.org.