№ files_lp_4_process_2_83463
Funding application form used by Broward Healthy Start Coalition to collect organizational, financial, and programmatic information from agencies seeking contracts to provide Healthy Start prenatal, infant pathway, and interconception care counseling services during fiscal years 2023–2028.
Organization: Broward Healthy Start Coalition, Inc.
Address: 4620 North State Road 7, Building H, Suite 102
City: Fort Lauderdale
State: Florida
Country: United States
Telephone: (954) 563-7583
Toll-Free: (877) 507-6305
Fax: (954) 561-9350
Website: http://www.browardhsc.org/
Program: Healthy Start Prenatal and Infant Pathway and Interconception Care Counseling
Document Type: Request for Proposal (RFP) Application Form
Fiscal Period: FY 2023–2028
Geographic Scope: Broward County, Florida
Issuing Organization: Broward Healthy Start Coalition, Inc.
Main Sections: Data Input Form; Application for Funding; Agency Information; Certification of Accuracy and Compliance; Agency Detail; Organizational Capability; Proposed Staff Information; Additional RFP Requirements; Performance Outcome Measures; Budget
Applicant Requirements: Agency identification details, financial information, organizational history, accreditation status, insurance coverage, litigation disclosure, and supporting documentation
Intended Applicants: Service provider agencies seeking funding to deliver Healthy Start services
Compliance Statement: Certification of accuracy, adherence to federal and state statutes, and authorization by the contracting entity
Signature Requirement: Authorized official and service provider signatures with date and title
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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