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DHS Epilepsy Services Grant Application

Epilepsy Services Grant Application

Instructions: The Wisconsin Department of Health Services (DHS) distributes grant funds in accordance with Wis. Stat. § 46.57. Private non-profit organizations or county departments are eligible to apply for the Epilepsy Services Grant to provide direct or indirect services to or on behalf of persons with epilepsy or their families (or both).

DHS may not allocate more than $50,000 per year to any agency under this grant pursuant to Wis. Stat. § 46.57. DHS cannot award more than $150,000 total to all grantees per grant year.

Submit this completed application along with a completed Statement of Work (SOW) and/or other documentation that: Describes your organization and the work you do, outlines your plans for the grant funds (including budget), and operationalizes or defines the outcomes being tracked for the programs and services the funding will be used to support that will fulfill the data reporting requirement.

Submit this application and all materials by January 1 of the grant award year. For example, grant applications for calendar year 2025 should be submitted no later than January 1, 2025. DHS will review grant applications and notify grantees of awards by February 1.


 
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6. What type of organization are you? *This question is required.
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9. Use the Statement of Work template found on the Grants page (where you found the link to this application), to provide details on your organization/agency and the plans you have for the grant funding being requested. The completed Statement of Work is required to submit your application.
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10. Upload any additional documentation you feel supports your application and Statement of Work.
(Allowed file types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4 Max file size: 1 MB)
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