2025 Rural Health Community Capacity Academy

2025 Rural Health Community Capacity Academy

Program Cycle: January 1, 2025 – December 31, 2025

Application Deadline: Now extended November 1, 2024

Welcome to the 2024 Rural Health Community Capacity Academy application. This form is designed to gather information about your organization's eligibility, needs, and goals. The information you provide will help us tailor our support and ensure the best fit for your organization's participation in the Academy. Please contact Courtney Glover at CGlover@ruralhealth.us with any questions.

Submission Instructions

Before you submit your application, ensure all required fields are completed. Once your application is submitted, you will be directed to a confirmation page acknowledging your submission. If you do not see this confirmation page, your application has not been submitted successfully.

About the Rural Health Community Capacity Academy

The Rural Health Community Capacity Academy is designed to support rural organizations in addressing local community health challenges by building their capacity for community engagement and development. Selected organizations will work with rural health development coaches who provide personalized guidance to assess strengths and develop strategies to overcome challenges.

This program is aimed at established rural health organizations with a demonstrated need for capacity-building support. Assistance may focus on improving operations, such as administrative processes, leadership development, and strengthening collaboration. Organizations may also benefit from guidance on funding opportunities and resources, though securing funding is not guaranteed. Additionally, participants may receive support in evaluating community health needs assessments to better understand and address local health challenges.

Development coaches will provide tailored support through regular virtual meetings, 2-3 site visits, and ongoing communication. They will work closely with organizations to assess their needs, develop strategic plans, and connect them to resources that help them better serve their communities.

Application Process

Applications are due by Friday, November 1. NRHA will review applications and notify applicants of their status via email. Accepted applicants must confirm their participation within two weeks of notification.

Costs

Participation in the Rural Health Community Capacity Academy is fully funded. There are no fees for participants.

General Information

Organization Name: *

Phone Number: *

Email: *

Address: *

City, State: *

Zip Code:

Contact Information

Please provide the names, positions, and contact details of two individuals from your organization who will serve as the primary points of contact for NRHA throughout the program. These representatives will be NRHA's main contacts for feedback assessments at various intervals and for coordination with a rural health development coach.

Representative 1

Name: *

Title:
*

Phone Number: *

Email: *

Representative 2

Name: *

Title:
*

Phone Number: *

Email: *

Funding Qualifications

This section is designed to help assess your organization's current funding status and qualifications for special funding opportunities. The information provided will help us better understand your organization's capacity and potential eligibility for additional resources.

Has your organization received funding from any federal agency in the past five years? *

Yes

If yes, please provide details (agency, grant name, and year):

Does your community qualify for any special funding (e.g., Health Professional Shortage Area [HPSA], Medically Underserved Area [MUA], etc)? *

Yes

If yes, which special funding?

Community Characteristics

This section aims to gather information about your community’s characteristics, including its experiences with natural disasters, rural designation, social vulnerability, and persistent poverty. Understanding these factors will help assess the unique challenges your community faces and identify areas where support may be needed.

Natural Disaster Impact

Has your community been impacted by natural disasters in the past five years? *

Yes

If yes, please provide details (e.g., type of disaster, year, and briefly describe the community response).

0/150 words

Rural Designation

Does your organization serve a FORHP-designated rural area?
*

Yes

Please upload a PDF of your community’s Rurality-Urban Commuting Area (RUCA) code. *

Social Vulnerability Index (SVI)

Provide your community's Social Vulnerability Index (SVI), if available. Access the score via the SVI Interactive Map.

Please upload a JPG of your community’s Social Vulnerability Index (SVI) score. *

Persistent Poverty

Does your community qualify as an area of persistent poverty?
*

Yes

Organizational Focus

This section aims to gather information on the population your organization serves, the health care challenges addressed, and the capacity-building needs you hope to tackle through the program. Your responses will help us understand how your organization aligns with the program's goals and where support can be most impactful.

Population Demographics

Please provide a breakdown of the demographics of the population your organization serves, including factors such as age, gender, ethnicity, income level, and any other relevant demographic information:
*

0/150 words

Scope of Health Care Issues Addressed

Describe the health care issues your organization aims to address:
*

0/150 words

Capacity-Building Needs

Identify the capacity-building needs your organization would like to address through participation in this program: *

0/150 words

Optional Consideration

NOSORH Grant-Writing Institute

If your organization is not selected for the Rural Health Community Capacity Academy Program, would you like to be considered for the NOSORH Grant Writing Institute? *

Yes

If yes, please provide a brief explanation of why your organization would benefit from participating in the NOSORH Grant-Writing Institute and how it aligns with your capacity-building goals:

0/150 words

Thank you for completing the 2025 Rural Health Community Capacity Academy application!

After completing this form, a copy of your application will be sent to the email address you provided on the first page. If you do not receive a copy, please contact Courtney Glover at CGlover@ruralhealth.us