Welcome to the MEGO on-line grant application. Please read all instructions
carefully to ensure that your application packet is submitted appropriately.
We recommend that you click
here to print a copy of these instructions prior to completing the
on-line process. The following checklist provides a detailed summary of
application requirements. As you can see, the application requirements include
documents in addition to the grant application form. Where possible, we have
provided electronic templates to facilitate easy on-line completion. Where
original documentation is required, we have provided instructions for attaching
files to your on-line application. In order to expedite your grant
request, we encourage the use of the on-line process. For your convenience, you
are able to save a grant and complete it at another time.
If you do not have electronic versions of the required attachments, you may fax
(302-885-3456) or mail them to us under separate cover. Please include the
Grant ID and the MEGO
Attachment Cover Letter with your faxed or mailed documents to ensure
that they can be linked to your electronic application form. If you want to
obtain 48-hour feedback on whether your proposed program is consistent with our
current areas of educational interest and available funding, call 877-294-7268
and select the option for our RAPID Line. For additional details regarding this
option please click on the General Information link.
Grant Application Checklist
Your completed grant application must include the following components in order
to be considered for funding.
A formal Letter of Request on the
letterhead of the organization requesting the grant
Completed Grant Application Form
Click here for the
on-line Application Form.
Budget Schedule
Click
here for the on-line Budget Schedule. When completing the budget
schedule, please provide a budget breakdown of only the costs that the requested
grant from Abraxis and AstraZeneca will support. If we are partially
funding the program, please record the total program cost on the grant
application.
Please Note: There are two budget schedules on our Budget Schedule Template to
select from: one for grant requests less than or equal to $50,000 (tab 1) and
one for grants over $50,000 (tab 2). Please select the appropriate Budget
Schedule Tab when submitting the grant application. Thank you!
Please do not submit funding requests for the following:
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Travel, registration, parking or lodging expenses for non-faculty health care
professionals to attend accredited or non-accredited continuing education
programs
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Exhibit or display booths at conventions/conference
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Research or health economics studies
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Charitable contributions
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General/miscellaneous education funds to support promotional education programs
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Social events
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Testimonial dinners
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Medical missions to foreign countries
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Medical school yearbook advertisements
-
Private schools/colleges/universities attended by physicians or their family
members
Proposal
Click here
for an on-line Proposal Template. If you prefer to use your own document,
please be sure to include the following information:
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Program Title
-
Full Program Description
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Program Date and Time — if multiple dates and locations, please indicate all
planned sessions
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Number of Faculty
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Needs Assessment or Equivalent Documentation — A Needs Assessment is the
centerpiece of the program planning process. It identifies gaps in knowledge
for the targeted audience. We require a needs assessment or equivalent
documentation as to how your organization determined a need for the education
and how the educational program will fulfill that need. Note that disease state
prevalence is not considered substantial information.
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Learning Objectives — Please describe what the participant should be able to do
following program participation
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Description of how the program is intended to create changes in behavior that
will lead to better patient care
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Description of how you will maintain full control of the content of the
program, including speaker/moderator/audience selection, the budget, and the
planning of the program
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Brief overview of the providers history (e.g., accreditation status, past
program evaluations, description of your record of providing programs that meet
standards for independence, balance, objectivity or scientific rigor, etc.)
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Description of how the audience will be recruited. If you plan to seek
assistance in the distribution of invitations, please include a specific
request in your Proposal, and refer to the Independent Education Grants
brochure here
for information about how we can assist.
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Indication of whether the proposed program will include an opportunity for
commercial booths, and if so, where the booth will be located. Please note that
if there is an opportunity for a booth, any associated costs must be included
within the Proposal. Also, please include contact information for the
booth/display opportunity that can be shared with our Field Sales Teams.
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Description of the metrics that you will track for your planned program.
Examples include:
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Number of invitees
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Number of attendees
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Number of attendees who received CE credit
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Program evaluation results
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Content-specific survey
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Speaker evaluation
Program Agenda and/or List of Topics
Draft copies are acceptable.
Program Brochure
Draft copies are acceptable.
Letter authorizing the delivery of grant
check to a third party, if applicable
This letter must be on the accrediting providers
letterhead.
Continue to
Grant Application