Catalyst 2025/2026 Application

Section 1: Program Applicant & Partner Information

Organization Name*

Primary Contact*

First Last

Primary Contact Title*

Primary Contact Email*

Primary Contact Phone*

Primary Contact Address*

Street Address City State ZIP Code

Proposed Program Title*

Staff(s), Title(s) responsible for this Program*

Is/are staff FTE or PTE?*

How many estimated hours per week will staff be dedicated to this program?*

IRS Status*

Please share the mission statement of your organization*

Funding amount requested*

List key partner organizations, coalitions, or other entities that will be involved in execution of the program. At least three must provide letters of support with the application (to be submitted separately).*

Please list the name and email address of the person who will participate in the regular Fight CRC check-in calls.*

First Last

Email*

Please list the name and email of the person responsible for the yearly grant reporting requirements.*

First Last

Email*

Do you currently have relationships with CRC survivors or caregivers who will be a part of your coalition to support your work?*

Yes

No

Has the Applicant received Fight CRC funds previously?*

Yes

No

Section 2: Capacity

Describe your state of readiness by answering the following questions briefly (100-word limit per question)

Does your proposed program have a lobbyist or legislative consultant who will help coordinate the effort? If yes, who?*

Are there lawmakers or policymakers in your state whom you consider allies or key champions? If yes, who and why?*

Can you identify influential CRC supporters in key legislators' districts? If yes, who, and for which districts?*

What legislative efforts to advance CRC screening have been attempted in your state? If they succeeded, why did they succeed? If they did not, what did you learn from the effort?*

Does your state have an active CRC coalition or roundtable? If yes, please provide a link to the website or list of coalition members.*

Do you or your partners have strong connections to the media? If yes, who?*

Have you worked with your state’s Department of Insurance on coverage issues? *

Do you have relationships with payers in your state? Who are the main payers in your state?*

Section 3: What do you hope to accomplish?

Be brief (500-word limit for each question)

What do you hope to accomplish in your state in the next two years through legislative, regulatory, or other policy change? What will be achieved as a result of providing funding to your state program?*

Please describe your program strategy to fulfill the goals of the grant and the ways in which your project is in alignment with the Catalyst State-by-State Advocacy Program objectives. Please include both short- and long-term program goals and objectives, as well as a brief description of desired activities and timeline.*

Describe the unique challenges to implementing the desired policy change in your state:*

Describe how you plan to address health disparities in your state through your work. Do you have relationships with stakeholders or organizations that represent underserved populations?*

Section 4: Sustainability plan

Please describe the plan to sustain the program and related outcomes beyond the grant funding cycle?*

Section 5: Supporting Materials

When you submit your application, you will receive an email acknowledging receipt. Please respond to that email with the following:

Budget: Please submit an Excel or pdf file similar to the example budget below on how a budget of up to $50,000 will be spent over the two-year period to fulfill the program objective(s). Keep to broad expense categories and indicate a brief summary of what the funds will cover. Add lines as needed. It is recommended that at least some of the funding go toward the retention of a lobbyist, if applicable, to assist with achieving program objectives. Please refer to Fight CRC’s web page for additional details on what is and is not eligible for funding. In-kind contributions are not required; however, they are always viewed favorably as a demonstration of organizational commitment to the program.
Letters of support (minimum 3)
Bios, headshots and titles for all key personnel working on this project
List of Board of Directors or Advisory Council, if applicable

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Catalyst 2025/2026 Application

Section 1: Program Applicant & Partner Information

Section 2: Capacity

Section 3: What do you hope to accomplish?

Section 4: Sustainability plan

Section 5: Supporting Materials

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