Apply for Grant Funding

Before We Start
This form is to assist in the process of applying for the First Responders-Comprehensive Addiction and Recovery Act (FR-CARA) Grant, funded through the Substance Abuse and Mental Health Services Administration (SAMHSA), a federal agency. This grant is awarded by the New Hampshire Department of Safety. The grant award process is facilitated by NH Project FIRST, a program of the New Hampshire Division of Fire Standards and Training and Emergency Medical Services.
Are you starting your application for funding, or have you already finished your application and would like to submit it now?
- Start application process
- Submit already-completed application
Is this your initial application for funding or are you reapplying for funding to continue your program?
- Initial application
- Renewal
We recommend that if you are applying for funding for the first time, that you contact NH Project FIRST team prior to filling out your application. Please give us a call at (603) 223-4200 or by email Grant Guidance
Would you prefer to apply through an online form or by filling out a PDF?
- Online Form
- PDF

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In order to complete your application, please download the PDF application here. To submit your PDF application, you may email NHProjectFirst@dos.nh.gov or return to this page and submit online.
PDF Application
Please upload your completed PDF application here
Accepted file types: pdf.

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Have you read the NH Project FIRST Grant Guidance?
- Yes
- No
Have you read the NH Project FIRST Application Checklist
- Yes
- No

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Applicant Information
Requesting Community/Agency
Community/Agency DUNS Number

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Program Summary Information
Would you want to conduct follow-up visits with individuals?*
- Yes
- No
Proposal Narrative
Mobile Integrated Healthcare (MIH) Plan

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Program Components
Are you requesting monetary funding for program costs & expenses?
- Yes
- No
Monetary funding opportunities include:
- Program Activities
  Program activities consist of funding for implementing your program. Costs can include salary and wages for personnel’s time to implement the program. (See Salary and Wages in the Grant Guidance.) Program activities may include promotional and educational event costs to promote and educate the public and at-risk individuals/support networks
- Training Activities
  OUD in the 603 Course: Costs/expenses for personnel to attend 2 hour Division-delivered training and any additional training for specific program staff. This course is recommended for initial applicants and can be re-taken as continuing education
- Data Collection and Information Systems
  Program activities consist of funding for implementing your program. Costs can include salary and wages for personnel’s time to implement the program. (See Salary and Wages in the Grant Guidance.) Program activities may include promotional and educational event costs to promote and educate the public and at-risk individuals/support networks
- Supplies, Equipment, & Other Activities
  Program activities consist of funding for implementing your program. Costs can include salary and wages for personnel’s time to implement the program. (See Salary and Wages in the Grant Guidance.) Program activities may include promotional and educational event costs to promote and educate the public and at-risk individuals/support networks
- Program Budget
  Program activities consist of funding for implementing your program. Costs can include salary and wages for personnel’s time to implement the program. (See Salary and Wages in the Grant Guidance.) Program activities may include promotional and educational event costs to promote and educate the public and at-risk individuals/support networks
How many Naloxone kits are requested for the performance period
Are you aware all first responders must be licensed to administer naloxone in the State of New Hampshire?
- Yes
- No
Do all first responders participating in your proposed program have the appropriate licensure to administer naloxone in the State of New Hampshire?
- Yes
- No

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Compliance Conditions
By checking the box below, I certify a Mobile Integrated HealthCARE (MIH) plan will be submitted to the Division for approval and the project will not start until the plan is approved and the grant is awarded
- I understand and agree an MIH Plan must be submitted to the Division for approval and will not start until the plan is approved and the grant is awarded.

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Signature & Certification

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Who We Are

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NH Project First

Step 1 of 9

Before We Start

PDF Application

Checklist

Applicant Information

Program Summary Information

Program Components

Compliance Conditions

Signature & Certification

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Headquarters

Who We Are

Facilities

Initiatives

Organization

Courses

Registration

Course Registration

Student Resources

First Responder Resources

Department Resources

Instructor & Coordinator Resources