HIV and STD Special Needs Funding Application

Thank you for your interest in Special Needs Funding. To apply, please complete this form and submit it along with a completed budget.


If you have any questions, please email us at prevention.info@odhsoha.oregon.gov.

 
 
 
 
 
 

General Guidelines and Requirements

 

Use of Funds:

  • HIV and STD Prevention Special Needs Funding may be used to support acute HIV and STD prevention interventions including but not limited to enhanced activities to address clusters, outbreaks, and large-scale contact investigations; short-term housing for high-priority pregnant HIV or syphilis cases; and incentives for engaging in STD/HIV care.
  • Funds are for anticipated future expenses related to the event. They may not be used to reimburse past expenses.
  • Funds used for HIV and STD Prevention Special Needs Funding may be federal, state, or a combination of both.
  • All funds will be paid through standard award amendment process.
 

Eligible Activities and Expenditures

  • Personnel (e.g. overtime, temporary staffing)
  • Short-term housing and transportation for high-priority cases (e.g. pregnant cases with syphilis)
  • Translation & interpretive services
  • Testing, harm reduction, or other prevention supplies
  • Incentives for engaging in STD/HIV care
  • Other activities


 

Non-Eligible Expenditures and Activities

  • Ongoing or routine HIV & STD prevention activities as outlined in program elements
  • Medications to prevent (e.g. PrEP) and treat HIV
  • Equipment purchases
  • Conference attendance
 

Reporting Requirements

  • Reporting requirements vary by funding source and will be detailed at the time requests are approved. By accepting additional funds for special needs, Recipients agree to complete all reporting requirements within the timeframe specified.
 

Other Restrictions

  • The amount of available HIV & STD Prevention Special Needs Funding varies from year to year.
  • Each approved HIV & STD Prevention Special Needs Funding request provides support for HIV and STD prevention activities lasting up to six months but may not exceed the end of the calendar year.
  • Requests for short-term housing support should be for a maximum of one month.
  • Please limit initial request to $10,000 or less.
 
 
 

Description of Need

 
 
 
 
 
 
 

Provide a brief description of the anticipated benefit if this Special Needs Funding is approved.

 
 
 

Description of HIV & STD Prevention Special Needs Funds Request

 
 

May not exceed the end of the calendar year.

 

Check all that apply.

 

Your HIV & STD Prevention Special Needs Funding application must include a completed budget (with line item justification) that outlines anticipated expenditures. Please upload your budget here, email it to us at prevention.info@odhsoha.oregon.gov, or fax it to 971-673-0178.

Drop your files here