2025 Grant Pre-Qualifying Form

All organizations wanting to apply for an Optometry Giving Sight grant are required to complete and submit this pre-qualifying form by midnight MST on March 20th, 2025. Organizations whose projects qualify for further consideration will be emailed access to the full application form on April 8th, 2025 and will have until April 30th to complete the application. ALL FIELDS ARE REQUIRED.

If you would like a copy of these questions to look at off-line, you may download a PDF or a Word document with a preview of all of the questions: Click here to download a PDF preview or Click here to download a Word document preview

1. Organization name(Required)

2. Name of project(Required)

3. Country in which your organization is located(Required)

4. Country in which the proposed project is located(Required)

5. Website of organization(Required)

The following questions are elements to assess if your program meets the mission and criteria for eligibility for OGS program funding. The mission of OGS is to support sustainable and scalable optometry-led programs that educate eye care providers locally and enable the establishment and delivery of vision care and eye health to all.

6. What statement explains the scope of your project (select all that apply)(Required)

Deliver eye examinations and low-cost or no-cost glasses to underserved/marginalized populations via an initiative that contains a strong optometry education component

Establish or support optometry development through optometry schools, eye clinics, vision centers and/or optical labs

A service delivery initiative tied to optometry education and/or the development of optometry

None of the above

7a. Please select the level of training the optometrists involved in your program have (ie - the optometrists who will be giving eye exams, teaching people to be optometrists, etc)(Required)

No formal school training, learned the profession as a trade

A certificate program of less than a year

A technical degree of 2-3 years in optometry/optical

A bachelor degree in optometry

A doctor degree in optometry

None of the above, please specify below

If you answered 'None of the above' in question 7a, please specify in 140 characters (approx 20 words) or less

7b. If your project involves training people to become optometrists, select the level of training they will have upon graduating

A certificate program of less than a year

A technical degree of 2-3 years in optometry/optical

A bachelor degree in optometry

A doctor degree in optometry

None of the above, please specify below

If you answered 'None of the above' in question 7b, please specify in 140 characters (approx 20 words) or less

8. Briefly describe the scope of the project for which you are applying for funding, and its intended impact, in 1400 characters (approx 200 words) or less(Required)

9. Please summarize how optometry is involved in 1050 characters (approx 150 words) or less(Required)

10. Is your project part of a long-term program with a view and a plan towards sustainability?(Required)

Yes

11. Please select the statements that apply to your program’s plan to be sustainable (select all that apply)(Required)

The program partners with local organizations and has services integrated, or has plans to be integrated, in the local health system

The program employs or trains local optometrists

The program has in place a plan to operate independently from external funding within a foreseeable future

The program has the support of local government or local community leaders

None of the above

12. Please expand on your selection above as to how your project is sustainable in the local context in 700 characters (approx 100 words) or less(Required)

13. Is your organization affiliated with or funded by a larger parent organization (including private sector, philanthropic organizations, government organizations)?(Required)

Yes

If ‘Yes’, list the name of the parent organization

14. Is your organization one of the following?(Required)

USA, tax-exempt under Section 501(c)(3) or 501(c)(6) of the IRS Tax Code

Registered charity or non-profit (Canadian or international)

Academic institution (not for profit)

Clinical institution (not for profit)

15. Is your organization able to match requested funds (financially or in-kind) by at least 15%? (We give priority to organizations that can match)(Required)

Yes

16. Your organization will be required to submit reports and may be asked to demonstrate evidence of the impact of the proposed project in the form of independent reviews/evaluations, quality-assured monitoring data, reports validated by monitoring trips or stakeholders, or independent research conducted in the sector. Do you agree to this?(Required)

Yes

17. Is your organization non-partisan, non-commercial, and non-religious? Note: Faith-based organizations may apply but their programs and services must be available to anyone regardless of faith, and must not include any proselytizing. If this is the case, answer 'yes' below.(Required)

Yes

NOTE: We fund one-year projects and multi-year projects, however we only fund one year at a time so your project application and the information below must reflect the one-year period. Receiving funding for one year of a multi-year project does not guarantee that you will receive funding for the subsequent years - you must apply each year.

18. Please indicate the amount of funding requested (input numerals only)(Required)

19. List in an itemized format how the requested funding will be used to achieve your program’s goals(Required)

20. Name of contact person(Required)

21. Contact person's job title(Required)

22. Weblink of contact person (e.g. LinkedIn, etc)

23. Email address of contact person(Required)

24. Phone number of contact person(Required)

2025 Grant Pre-Qualifying Form

2025 Grant Pre-Qualifying Form

Links

United States

Canada