Grant Submission Form
The primary focus of support will be placed in the following areas:
Direct impact on clinical patient care programs and services provided at Tri-City Medical Center.
Impact on the health and well-being of the community through programs which promote, encourage, and assist the improvement and expansion of health care in the Tri-City area, namely the cities of Carlsbad, Oceanside, and Vista.
Not intended to replace short-falls in operating budgets and/or for equipment/programs which are standard in amedical center
Specific targets to address are:
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 a system-wide approach to patient care
Programs, technology, training/education that will mean the difference between a good Medical Center and an outstanding Medical Center
Nature of Request: Please provide an appropriate description of the program to be funded, equipment request for funding, or the nature of any other request. Please attach any appropriate support materials.
Submitting Requests
Return completed Request for Funding Application, including required signature and approval from the
appropriate Administrator, to the Foundation office. If request meets criteria, it will be placed on the monthly
Projects & Allocations agenda for committee review and approval.
Project Completion Timelines:
Requests for $5,000 or less should be completed within 90 days; $5,001-$50,000 should be completed within
6 months; $50,001 or more, or construction projects, should be completed within 12 months. If projects are
not completed within the time frame, you will need to request an extension or submit new request. If the project
is not complete, and an extension has not been approved, the grant may be rescinded.