Pre-Application Checklist

Entities wishing to provide healthcare services to migrant and seasonal farmworkers in their area are asked to contact NCFHP's office at (919) 733-2040 to inform of your intent to submit a proposal for funding and to discuss your plan for increasing access to care for farmworkers in your region. NCFHP staff are available to provide guidance and answer any questions you may have.

The process is very competitive and depending upon the availability of funds. In an effort to help potential applicants better understand NCFHP's priority areas and determine the applicant's readiness to apply for funds to serve migrant and seasonal farmworkers in accordance to NCFHP's vision, the following questionnaire is being provided:

We are aware of NCFHP vision, mission, and preferred method for providing services to migrant and seasonal farmworkers.
Yes | No

We have contacted NCFHP staff to discuss our interest in serving farmworkers and to inform them of our intent to submit a proposal for funding.
Yes | No

There are more than 1000 migrant and seasonal farmworkers in the proposed service area. If you have less than 1000 farmworkers in your area, please describe the need that migrant and seasonal farmworkers in your area.
Yes | No How many? _______

Explain:

Is there an identified need and/or gap in healthcare services for farmworkers? Yes | No
If so, what are the gaps? What services are needed?

Explain:

Is your agency currently providing services to migrant and seasonal?
Migrant Seasonal Both

If so, how many farmworkers did you serve last year? _________________
What services are being offered? What services are you hoping to provide?

Explain:

Does your agency have bilingual staff?
Yes | No

Does your agency have an interpreter?
Yes | No

Does your agency have or arrange for transportation services?
Yes | No

Does your agency have extended evening and/or weekend hours?
Yes | No

Does your agency accept farmworker "walk-in" patient during normal business hours and extended clinic or weekend hours?
Yes | No

Is your agency collaborating with other providers to meet the needs of migrant and seasonal farmworkers in your area?
Yes | No


Whether you responded "yes" or "no" to most of the above questions indicating your readiness to be a contract site, if you are interested in improving or expanding your services for farmworkers in your area, contact the NC Farmworker Health Program at (919) 733-2040 to discuss your interest.