Grant Request Form / General Grant Program

Grant Request Form

Geographic Scope: Tri-City area (Carlsbad, Oceanside, and Vista, California)

Primary Focus Areas:

• Direct impact on clinical patient care programs and services at Tri-City Medical Center
• Impact on health and well-being of the community through programs promoting healthcare improvement and expansion

Specific Targets:

• Clinical research
• Innovative and creative programs
• State-of-the-art technology
• Innovative and creative training/education
• Innovative and creative capital building and/or remodeling
• Projects that cross disciplines and create system-wide approach to patient care
• Programs, technology, training/education that distinguish a good medical center from an outstanding one

What They Do NOT Fund:

• Requests not intended to replace shortfalls in operating budgets
• Equipment/programs which are standard in a medical center

Project Completion Timelines:

• Requests for $5,000 or less: 90 days
• $5,001-$50,000: 6 months
• $50,001 or more, or construction projects: 12 months
• Extensions must be requested if projects not completed within timeframe; failure to do so may result in grant rescission

Contact Information:

• Address: 4002 Vista Way, Oceanside, CA 92056
• Phone: 760-940-3370
• Website: tricityhospitalfoundation.org

Grant Application Process

1. Complete the Request for Funding Application form
2. Obtain required signature and approval from appropriate Administrator
3. Submit completed application to the Foundation office
4. If request meets criteria, it will be placed on the monthly Projects & Allocations agenda for committee review and approval

Required Materials

• Completed Request for Funding Application
• Required signature from appropriate Administrator
• Appropriate description of the program to be funded, equipment request, or nature of other request
• Support materials (as appropriate)

Key Information

• Requests are reviewed monthly by the Projects & Allocations committee
• Approval timeline depends on request amount and project type