In this sample grant proposal, [__________ Organization] requests $_____________
per year (see attached “Sample Budget for a Community Health Worker
Program”) to conduct a Community Health Worker (CHW) program for
two years. The program will be focused on health promotion, increasing
community linkages to health and social services, and providing eligibility
pre-screening and enrollment assistance for public benefit programs among
low-income, Hispanic residents living in the colonias of the lower Rio
Grande Valley region in Texas. Four full-time CHWs will be dedicated to
the program. They will participate in initial and on-going training, receive
individual supervision, and serve their community by carrying out:
• A community health assessment with 200 individuals
• Outreach to 4,200 community members
• Referrals to 700 individuals to health or social services, including follow-
up on whether or not services were received
• Pre-screening or assistance with 350 applications for public benefit
programs (e.g., Medicare/Medicaid, Children’s Health Insurance Program
(CHIP), Supplemental Nutrition Assistance Program (SNAP), and
Temporary Assistance for Needy Families (TANF)), including follow-up
on whether or not benefits were received; and
• 320 health education sessions in the community
As a result of the program, colonia residents will have increased linkages to
health and social services and access to greater health information.
