An applicant for a grant under Section 26B-4-310 shall include, in an application:

1. (1) a statement of specific, measurable objectives, and the methods the applicant will use to assess the achievement of those objectives;
2. (2) the precise boundaries of the area the applicant will serve, including a description of the medically underserved population the applicant will serve using the grant;
3. (3) the results of a need assessment that demonstrates that the population the applicant will serve has a need for the services provided by the applicant;
4. (4) a description of the personnel responsible for carrying out the activities of the grant along with a statement justifying the use of any grant funds for the personnel;
5. (5) evidence that demonstrates the applicant's existing financial and professional assistance and any attempts by the applicant to obtain financial and professional assistance;
6. (6) a list of services the applicant will provide;
7. (7) the schedule of fees, if any, the applicant will charge;
8. (8) the estimated number of individuals the applicant will serve with the grant award; and
9. (9) any other information required by the department in consultation with the committee.

Renumbered and Amended by Chapter 307, 2023 General Session