Wellness Grant Sample Application

Thank you for applying for a wellness grant.

* Current BeWell Champions may apply for a grant, ranging from $200 to $1,000, to fund a workgroup/department level self-directed wellness activity.

* Please make sure that the grant application is developed with, and approved by, your supervisor.

* Incomplete applications/applications with missing data will not be considered. Please contact bewellchampions@stanford.edu with any questions prior to submitting your application.

* All complete applications will go through a review and selection process. Please note that not all applications will be selected.

* Due to limited funding, the majority of people benefiting from the grant must be benefits-eligible university employees.

* We want as many work groups as possible to benefit from the wellness grant. We also have limited funding. Consequently, priority will be given to applications submitted by Champions who have not been awarded a wellness grant in the last 12 months.

* All grant recipients will be required to provide periodic reports describing their progress and grant fund use.

* If your grant proposal includes a Healthy Living for Teams class, please make sure to complete an online request form to confirm the feasibility and price of the class. (Completion of the form does not commit you to holding the class if your application is not selected.)

* If your proposal includes a group fitness class, please contact recprograms@stanford.edu to confirm the feasibility and price of the class. Please specify whether your work group is on the Stanford campus or at Stanford Redwood City.

* If your proposal includes the purchase of equipment or use of outside instructors, please confirm the prices and feasibility first. 

* If your proposal involves changes to facilities (e.g., bringing in equipment or modifying the built environment), obtain prior approval.

* If you have any other questions regarding the grant, please direct your questions to bewellchampions@stanford.edu.

Are you a BeWell Champion?

X Yes

o No

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

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

o 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 contacted completed an online request form to confirm the feasibility and price of the Healthy Living for Teams class?(Completion of the form does not commit you to holding the class if your application is not selected.)

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 Network, and wellness grant communications.

X Yes

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

X I confirm.

I agree that if I’m a recipient of a wellness grant, I will provide required reports describing our team’s progress and grant fund use.

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:

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 of your workgroup that you hope to accomplish through this grant (2-4 sentences):

To manage stress and increase employee engagement through the Healthy Living for Teams class: Strategies for Flourishing Under Pressure 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)

Your requested grant amount (Note: In light of the cost-effectiveness of the grant, a budget that is less than $50 per person is strongly encouraged):


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

Specific (specific activity(ies) you are proposing):

We will have the Healthy Living for Teams class Strategies for Flourishing Under Pressure 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 (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 meet 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 at 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 given approval for staff time to attend the Healthy Living for Teams class and has said we can devote time 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 (specific timeframe for your grant goals. Be sure to include your anticipated start date and duration of your wellness activity):

We will schedule the Healthy Living for Teams class by November 2023 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 proposal with demonstrated sustainability will be given a priority):

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.)


Have you checked with your workgroup if they would be interested in participating in the proposed project?

X Yes

o No

What percentage of your work group are interested in this proposed wellness activity?

% of colleagues who are interested


How many benefits-eligible University employees do you expect to benefit from this proposed wellness activity? (This number would include benefits-eligible employees within your work group who are participating, as well as benefits-eligible employees in other workgroups who might participate. If this activity will lead to changes in workgroup practices, include all benefits-eligible employees who would benefit from those improved practices.)

15 – Even though only 12 colleagues have said they were interested, 100% of the workgroup will attend the class and participate in the weekly meetings because of leadership support.

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, in addition to supporting 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 provide 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 also using 10 minutes of our weekly staff meeting for the subsequent 12 weeks after the class.

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

We have monthly social zooms, 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. 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 for participation, nor for celebrations).

$400 for Healthy Living for Teams class “Strategies for Flourishing Under Pressure During Transitions and Uncertainty”

Please confirm that the itemized budget above has been confirmed and is accurate.

X I confirm.

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 approver name and email address:

o PTA number: 1111111-111-AAAAA

o Approver name: Susie Support

o Approver email: ssupport@stanford.edu