Topic-Specific Proposal Outline 

Fall 2021 

THIS IS ONLY AN OUTLINE OF THE FULL PROPOSAL 

If you are selected to submit a full proposal, you will be sent a JotForm link in your notification 
email sent to you by the TDC’s Staff Liaison. For questions email 
Smallgrants@tndisability.org 


. 
You must answer all sections completely 
. 
Please note: the JotForm link allows you to 
save and come back 
later to finish the 
application 
process 
. 
Fall proposals are due on 
or before 
October 29th, 2021. The 
link will close after 11:59pm 
CST 

Please note: There will be a section for a Primary organization and 
an additional organization for 
collaborative applicants. Primary organization means the organization that has been designated to 
received funding, and 
is responsible for submitting mandatory reporting. The TDC is not responsible 
for designating this role! 

If there are more than two 
(2) organizations involved in this grant, 
after submitting the application 
please email Carrie Carlson at smallgrants@tndisability.org for additional instruction. 


Organization Information: 

If this 
is a collaborative proposal -- Unless you make your selection and 
choose 
“Yes, this is a 
collaborative effort” on the first question, you will not see additional space 
for entering more than one 
organizations information. Once 
you choose “yes, this is a collaborative effort”, additional questions will 
populate. 

You are required and 
responsible for submitting the information requested in it’s entirety, for all 
organizations applying for funding / working in a 
collaborative effort on the 
proposed project. 


All information is needed for all organizations 

. 
Name of organization 


. 
Website 

. 
Federal tax ID# 

. 
Year organization was founded 


. 
Mailing 
address 


. 
Physical address, if different 

Primary contact information: 

Primary contact is the designated contact 
who will oversee the grant funds and reporting. Please 
remember that the TDC is not responsible for designating this role; it is the responsibility of the applying 
parties. 

All organizational contact listed in this proposal will receive 
ALL emails regarding this proposal and all 
future grant related communications from the TDC staff liaison. 


. 
Primary contact Name 

. 
Title 


. 
Phone number 

. 
Email address 
Collaborative / Secondary Organization Information: 

. 
Name of organization 


. 
Website 

. 
Federal Tax ID# 

. 
Year organization was founded 


. 
Physical address 

. 
Name of organization contact person 

. 
Title 


. 
Email address 

. 
Phone number 

Section 1: Application Information 

Primary organization information 

. 
Organizations' Executive Director/President/Principal 
. 
Organizational title 
. 
Email 
. 
Describe your organizations’ experience as it relates 
to the proposed project 

Collaborative / secondary organization information 

. 
Organizations' Executive Director/President/Principal 
. 
Organizational title 
. 
Email 
. 
Describe your organizations’ experience as it relates 
to the proposed project 

Section 2: Project Information 



Please add the total budget for the proposed project including 
funding and contributions from 
other 
sources as well as the organization itself. Add the total amount being requested from TDC considering 
the maximum allowable amount. 


Do not exceed $10,000.00 for a single applicant or $15,000.00 for a collaborative application. Indicate 
the total time frame for the proposed project. 


This period 
may exceed the grant period if awarded. 


. 
Estimated budget for this project 
. 
What is the 
funding amount requested from the 
Tennessee Disability Coalition? 


What is the timeframe for the proposed project? 

. 
Start date 


. 
End 
date 


Section 3: Project Narrative 


Please use the sections provided for the proposal. Each section will be evaluated and awarded points. 
The point system is based 
upon clear and concise responses to questions, focused content, 
completeness of the 
answers, and quality of the responses. 

Answer all questions as outlined in the Full Proposal Form. Please do not include any attachments other 
than those requested. They will not be reviewed. The areas of focus are identified in this 
document and 
the point values assigned 
for each. These areas have been further broken 
down into more specifically 
detailed 
questions/topics which must be addressed, if applicable. 

A. 
Project Description 
. 
Describe the proposed project to be funded 
by the TDC, if awarded? 

. 
Describe the need to be addressed by this project? 


. 
Who will be served by this project? 

. 
How will funding from the TDC support disability community-centric storytelling? 

. 
How do you plan to implement the project? 

. 
What is the goal of the project? 

. 
Include measurable, outcomes-base objectives, including the estimated number 

of participants: 

B. 
Impact / Evaluation: 
. 
Describe the impact the project will have on the participants 
and community: 
. 
How do you plan to evaluate the project? 
. 



In the section below, please include the anticipated outcomes and measures that you intend to take for 
the evaluation of this project. 
Please note: this section should be used for your two mandatory reports if your project is funded 
Reporting (this question 
is in table format) 


Anticipated outcomes Measures 
Five (5) 
month report 
Final Report 

. 
If the project will be ongoing, how will it be 
sustained beyond the grant award period? 

C. 
Collaboration 
. 
How do you plan to work collaboratively with 
other 
organizations serving this 
population/area/need?: (List organizations that are not already included 
in this 
application) 

. 
If you are not collaborating with 
others, please explain why: 
. 
If this 
is a collaborative grant, describe each organization’s role in this project: 
. 
If this 
is a collaborative grant, describe each organization’s financial 
support or 


contribution to this project: 

Section 4: Estimated Project Budget 


To assist the Coalition in further understanding your 
request, please provide a Budget Justification 
describing how the funds will be used. 

No attachments accepted. 
Only use the categories outline 
in the budget table below 

. 
Budget Justification: 


Complete the Project Budget Line Items 
for THIS project 
in the 
table provided below. Do not 
include your organization’s operating 
budget here. 


In "other funds committed or allocated 
for this project", add the total amount from all 
organizations or funders contributing 
to this effort. 


No attachment accepted. 


Project Budget Line Items 
(This section 
is in table format) 
Please make sure your math is correct. 


Project Budget Line Items 
Requested 
Funds from 
Tennessee 
Disability 
Coalition 
Other 
Funds Committed 
or Allocated 
to this 
project 
Total 
Salaries & Wages 
Benefits & Payroll Taxes 



Consultants / 
Professional Services 
Staff Development 
Insurance 
Rent / Mortgage 
Building Maintenance 
Equipment 
Equipment Maintenance / 
Rental 
Technology / Computers 
Program supplies 
Marketing 
Postage / Mailings 
Printing 
Office supplies 
Travel / Mileage 
Utilities / Telephone 
Other 
(specify): 
TOTAL PROJECT EXPENSES 

. 
What is the 
total amount of funding being requested? 

Section 5: Certification and Signature 

We certify that 
the information 
contained 
herein is correct 
and complete. We agree to keep 
accurate financial records for any funds that might be received and to use any 
grant money strictly 
for the purpose detailed herein. We will comply in the event the Tennessee Disability Coalition asks 
to schedule 
site visits before and after the grant has been made, and we agree to submit the 
interim 
and 
final requested narrative and fiscal reports by the deadlines set forth by 
the Coalition. 
We will allow 
the 
Coalition to use the information provided in this request for public information 
pieces and will acknowledge the Coalition’s support in 
any publicity 
generated 
regarding this 
project: 

To ensure 
that this form is accessible to all, please use the 
option below that best fits you, by 
either signing or 
typing your 
name. 


Primary organization 


. 
Name of primary organization 

. 
Name of organization officer 


. 
Title 
. 
Signature 
. 
Date 


Executive 
Director / President / CEO 
. 
Name 
. 
Title 
. 
Signature 
. 
Date 

Primary Grant Contact 
. 
Name 
. 
Title 
. 
Signature 
. 
Date 

Collaborative / Secondary Organization: 
. 
Name of primary organization 
. 
Name of organization officer 
. 
Title 
. 
Signature 
. 
Date 

Executive 
Director / President / CEO 
. 
Name 
. 
Title 
. 
Signature 
. 
Date 

Primary Grant Contact 
. 
Name 
. 
Title 
. 
Signature 
. 
Date 

UPLOAD APPROVAL 
LETTER FROM THE 
TDC.