PUBH 6213 Week 9 Attachments and Letters Example

Proof Behind the Promises: An Attachments Package With a Keyed Checklist, Two Partner Commitment Letters, a One-Page Logic Model and Staffing Documents for a County's School Hearing Follow-Up Request

Student Name

Walden University

PUBH 6213: Public Health Grant Writing

Instructor Name

Month Day, Year

Proof Behind the Promises: An Attachments Package With a Keyed Checklist, Two Partner Commitment Letters, a One-Page Logic Model and Staffing Documents for a County's School Hearing Follow-Up Request

Why Attachments Decide So Much

An application's narrative describes what a program will do. Its attachments prove that the applicant can do it: that partners have committed, that staff roles exist, that the organization is legally what it says it is. The invented state announcement this package answers lists eight required attachments and states that an application missing any of them "will be deemed incomplete and will not be forwarded for review." This package assembles all eight for the Tamarack County Health Department's school-based tele-audiology program and keys each to the clause that requires it.

Attachment Checklist

Table 1

Required Attachments Keyed to the Announcement

Note. Clause numbers refer to the composite announcement.

Partner Commitment Letter 1: School District

The first letter comes from the superintendent of the largest of the four districts. The other three districts' letters follow the same structure with their own figures.

"Dear Review Committee: The Pine Ridge School District commits to the following roles in the Tamarack County Health Department's school-based hearing follow-up program. Our school nurses will rescreen every student who does not pass the annual hearing screen within two weeks and will complete the program's referral form for each student who does not pass the rescreen. We will provide a private, quiet room at each of our four schools on scheduled clinic days, valued at $750 for the year, and our technology office will configure secure network access for the program's tablets, valued at $450. Nurse time for rescreens and referrals beyond our usual duties is estimated at 50 hours, valued at $2,250. We will share referral information with the health department under a written data sharing agreement and only with written parental consent. Last year our nurses referred 61 students after a failed rescreen, and we know that many of these families could not travel to the nearest audiologist. We are committed to this program because our students cannot learn what they cannot hear. Sincerely, Superintendent."

Partner Commitment Letter 2: Audiology Practice

"Dear Review Committee: Valley Audiology Associates commits to serving as the clinical partner for the Tamarack County Health Department's program. Our licensed pediatric audiologists will review tablet audiometry results and video otoscopy images remotely on scheduled clinic days, speak with families by video or phone, and recommend next steps for each child. We will bill public and private insurers for every covered diagnostic service and will charge the grant only for services to uninsured children, case conferences and staff training, at $95 per hour for an estimated 120 hours. We will calibrate all four audiometer kits before use and annually. We will report each child's results to the care coordinator within five business days. Our practice has seen many children from Tamarack County after long delays, and we welcome the chance to see them sooner. Sincerely, Clinical Director."

These letters do more than express support. Each names specific roles, quantifies resources and, for the districts, values the in-kind match that appears in the budget narrative. General letters of support, which praise a program without committing anything, do not meet the announcement's requirement.

Logic Model

The one-page logic model follows the structure in the guide the department uses for program planning (W. K. Kellogg Foundation, 2004): resources, activities, outputs, short-term outcomes and long-term outcomes, read left to right.

The long-term outcomes reflect evidence that unrecognized hearing loss matters for learning. In one school district study, children with minimal sensorineural hearing loss were more likely than their peers to have repeated a grade, with 37% having failed at least one (Bess et al., 1998). The program will not measure grade retention, which is too distant from its activities to attribute, but the logic model names the outcome so reviewers can see why the short-term outcomes matter.

Table 2

Logic Model Summary

Note. The attached logic model uses the same activity wording as the work plan.

Organizational Chart and Position Descriptions

The organizational chart places the program within the department's Division of Community Health. The program manager reports to the division director, and the care coordinator reports to the program manager. Dotted lines show the coordination relationships with school nurses and the audiology practice, which are partners rather than supervised staff.

The care coordinator description lists duties (scheduling, family contact, operating tablet audiometry under remote audiologist supervision, maintaining the referral log), qualifications (health technician or medical assistant credential, valid driver's license, Spanish fluency preferred) and supervision. The program manager description lists grant management, partner coordination and reporting, and requires a registered nurse license and two years of public health program experience.

Proof of Governmental Status

As a unit of county government, the department holds no 501(c)(3) determination letter. The announcement's Appendix B accepts "evidence of governmental status," and the package includes the county board resolution establishing the health department. The cover note on that page quotes the appendix clause so that intake staff do not mistake the missing determination letter for an omission.

What the Package Leaves Out on Purpose

The announcement allows optional attachments, and the team decided against adding any. Letters of support from the county commission and a state legislator were offered, but they commit no resources and would add pages a reviewer must open without gaining points. Resumes for the audiology practice's staff were also left out, since the announcement asks for position descriptions only for staff funded by the grant. Keeping the package to what is required makes every attachment one a reviewer is looking for.

Final Check

Before upload, the program manager and grants coordinator will check each attachment against the checklist, confirm that figures in the letters match the budget narrative and that the logic model uses the work plan's wording, and confirm that file names follow the portal's rules. The tele-audiology approach itself is grounded in trial evidence that school-based telemedicine referral doubled timely follow-up in rural Alaska (Emmett et al., 2022), and the attachments are what allow a reviewer to believe the department can deliver it.

References

Bess, F. H., Dodd-Murphy, J., & Parker, R. A. (1998). Children with minimal sensorineural hearing loss: Prevalence, educational performance, and functional status. Ear and Hearing, 19(5), 339-354. https://doi.org/10.1097/00003446-199810000-00001

Emmett, S. D., Platt, A., Turner, E. L., Gallo, J. J., Labrique, A. B., Inglis, S. M., Jenson, C. D., Parnell, H. E., Wang, N.-Y., Hicks, K. L., Egger, J. R., Halpin, P. F., Yong, M., Ballreich, J., & Robler, S. K. (2022). Mobile health school screening and telemedicine referral to improve access to specialty care in rural Alaska: A cluster-randomised controlled trial. The Lancet Global Health, 10(7), e1023-e1033. https://doi.org/10.1016/S2214-109X(22)00184-X

W. K. Kellogg Foundation. (2004). Logic model development guide. https://wkkf.issuelab.org/resource/logic-model-development-guide.html