Wellness grant sample application

Here is an example of a wellness grant application to give you a better idea of what to expect in the application process.

Are you a BeWell Champion?

X Yes

o No

Does your grant proposal include any of the following? (Please check all that apply).

X A Stanford Healthy Living for Teams class (i.e., health education brought to your workgroup)

o A Stanford Recreation group fitness class brought to your department

o Purchase of equipment

o Bringing in an outside instructor

o None of the above

Have you completed an online request form to confirm the feasibility and price of the Healthy Living for Teams class? Completing this form does not require you to hold the class if your application is not selected. Also, you must complete this wellness grant application in addition to the online request form. Current pricing for Healthy Living for Teams class is as follows: $200 per online instructional hour; $250 per in-person instructional hour.

X Yes

o No

I confirm that the grant application is developed with and approved by my supervisor.

X Yes

I agree that my name, department, and the description of the wellness activity that I have submitted in my application may be displayed in BeWell, BeWell Champions, and wellness grant communications. (Please note, answering “yes” is not required for your grant proposal to be funded.)

X Yes

Due to limited funding, please confirm that the majority of people benefiting from the grant are benefits-eligible university employees (i.e., exempt, non-exempt, academic or bargaining unit staff and/or faculty. Postdocs, fellows, and SHC employees are not benefits-eligible university employees).

X I confirm.

I agree that if I receive a wellness grant, I will provide the required reports describing our team’s progress and grant fund use. If I leave my current role, I agree to identify a colleague who will submit the reports after I leave. I will email bewellchampions@stanford.edu with my colleague’s name and contact information.

X Yes

Did you submit a grant application in any previous cycles?

X Yes

o No

Have you received grant funding in a previous cycle?

o Yes – (Please specify grant cycle(s) month and year):

X No

Applicant (BeWell Champion) information:

o Name: Walter Wellness

o Department/Unit: BeWell

o Title: Research analyst

o Email: WaltWell@stanford.edu

o Phone: 555-5555

Please select your school/ VP area:

o VP for Human Resources

Do you have a supervisory role?

o Yes

X No

What is your position at Stanford?

o Faculty/academic staff

o Exempt staff

X Non-exempt staff

o Bargaining unit staff

o Other

Is another BeWell Champion applying for this grant with you?

o Yes

X No

Sponsoring supervisor information:

o Name: Rya Resilient

o Department/Unit: BeWell

o Title: Manager

o Email: ryaresil@stanford.edu

o Phone: 777-7777

Please describe the wellness outcome that you hope to accomplish with your workgroup through this grant (just a few sentences):

To manage stress and increase employee engagement through the Healthy Living for Teams class: Strategies for Flourishing During Transitions and Uncertainty.

Please identify the well-being areas associated with this proposed project. (Check all that apply.)

o Increased physical activity

o Healthier eating habits

X Stress management

X Increased social connections

X Increased sense of belonging/inclusion

o Management/prevention of chronic conditions

X Prevention/management of burnout

X Increased resilience

o Other (please specify)

Please state your requested grant amount. Be sure to include taxes and fees, if applicable. (In light of the cost-effectiveness of the grant, a budget that is less than $50 per person is strongly encouraged; less than $35 per person is even better):

$200

Please describe how your workgroup will accomplish the goal with the grant funds.

Specific (Name the specific activity you are proposing):

We will have the Healthy Living for Teams class Strategies for Flourishing During Transitions and Uncertainty and then dedicate 10 minutes of our weekly staff meeting for the following 12 weeks to discuss how we’re applying principles from the class to our daily lives and work practices.

Measurable (Define the process and outcome measures that you will be using to ensure successful implementation of the grant):

We will measure the following:

• When we’ve held the class

• How many participants came to the class

• Satisfaction with the class

• In the 12 weeks following the class, we will track how many meetings we are able to achieve our goal of devoting 10 minutes to either a mindfulness practice and/or discussing how we’re applying techniques learned in the class to better manage uncertainty at work and home.

• How many employees participate in the staff meeting discussions (for 12 weeks)

Achievable (How you are going to ensure the proposed activities are achievable?):

My supervisor has approved staff to attend the Healthy Living for Teams class and time to devote to our wellness practices during our staff meeting.

Realistic (How are your proposed activities and budget realistic?):

A one-hour class to start and then ten minutes each week seems like a realistic amount of time to expect colleagues to devote to this important topic. Of course, those who are more interested will spend more time each week, working on cultivating mindfulness and practicing the other strategies.

Time-bound: State the specific timeframe for your grant goals. Be sure to include your anticipated start date and duration of your wellness activity, keeping in mind that funding decisions will be shared on April 15 and it may take a few weeks to complete the grant funds transfer process:

We will schedule the Healthy Living for Teams class by June 2025 and then hold discussions in our meetings for the 12 weeks following the class. (We may need to resume after winter closure.)

Please describe how this new wellness practice in your workgroup will be sustained after the grant period is over (Grant proposals with a well-defined sustainability plan will be prioritized.)

We will sustain the practices learned in the class for the next 12 weeks because we’ll be discussing them weekly. Building on what we learn in the class, we will adopt workplace policies that promote resilience in the face of change, thus increasing our chances of sustaining what we’ve learned.

How many people are in your workgroup? (Please provide your best approximation.)

15

Have you checked with your workgroup if they would like to participate in the proposed project?

X Yes

o No

Approximately what percentage of your workgroup is interested in this proposed wellness activity?

80%

How many benefits-eligible university employees do you expect to benefit from this proposed wellness activity? (Please include the number of employees within your work group and those in other workgroups who might participate. If this activity will lead to changes in workgroup practices, include all who would benefit from those improved practices. Please only count benefits-eligible university employees.)

20 – Even though only 12 colleagues have said they were interested, all 15 employees of the workgroup will attend the class and participate in the weekly meetings because of leadership support. (i.e., the class and weekly meetings will happen during our regular meeting times). We also anticipate that at least 5 of our stakeholders (not directly in our workgroup) will benefit from the activity because we will be less stressed and have higher-quality interactions with them.

Which groups do you expect will benefit from this proposed project? (Check all that apply.)

o Faculty/academic staff

X Exempt staff

X Non-exempt staff

o Bargaining unit staff

X Family members

o Community members

o Other (please specify)

Please describe how this proposed project will contribute to improving the culture of wellness in your workgroup/department.

Employees will practice better change management and feel less stressed in the face of uncertainty. They will be more aware of and better understand their colleagues’ reactions. We plan to update workgroup processes to reflect the learnings from the class. Based on changes to processes and practices, employees will be better able to support the wellness of those around them and their own wellness.

Do you have department leadership support for this project?

X Yes

o No

o Not sure

How is your department leadership demonstrating support for this project? (Check all that apply)

X They are on board with this project (Please specify how):

Our leadership has been concerned about staff well-being and was very supportive of this grant project idea when it was presented to them. They are encouraging me to apply.

X They are offering financial support to help implement this project (Please specify how):

Our leadership has committed to providing supplemental funds for light snacks at the staff meetings.

X They are offering policy support to help implement this project (e.g., approved the use of dedicated time for this project) (Please specify how):

Our leadership approved using one of our staff meetings to hold the Healthy Living for Teams class and 10 minutes of our weekly staff meeting for the 12 subsequent weeks after the class.

Please describe wellness practices your workgroup/department has already successfully implemented, if any:

We have monthly social Zoom meetings, where we catch up with one another. We also have made it a practice to turn our one-on-one meetings into phone calls, rather than Zoom (when possible), where walking is encouraged.

Please provide an itemized budget:

(Your fund request must align with your goals and activities. Please research all costs involved, including taxes and fees. If your application requires the assistance of other departments or partners, please consult them and confirm the potential costs and feasibility before submitting your application. Grant funds should not be used for incentives or celebrations).

$200 for Healthy Living for Teams class “Strategies for Flourishing During Transitions and Uncertainty”

Please affirm that the itemized budget above has been confirmed and is accurate. Applications with under-specified budgets will not be selected.

X I affirm the stated budget has been confirmed and is accurate.

o I have not yet received final confirmation on pricing, but I will email bewellchampions@stanford.edu with the final pricing by March 15.

If your application is selected, we may need to transfer funds to a PTA and contact the PTA approver. Please provide the PTA number that would receive the funds, with the approver’s name and email address. Confirm the PTA number with your finance person before submitting your application to avoid potential problems with the funds transfer, should your application be selected.

o PTA number: 1111111-111-AAAAA

o Approver name: Susie Support

o Approver email: ssupport@stanford.edu