Below is the CREATE Application. If you’re seeing this page, you should have already completed the pre-application steps and received an application number.
If you have not, please contact us by email  at web@coruralhealth.org . You must have an application number in order for your application to be considered for funding.

For examples of required attachments, click below:

Balance Sheet Example

Budget Example

Income Statement Example

CREATE Application

Full Application for CREATE - gated

Please note that your information is saved on our server as you enter it.

Step 1 of 6

  • You must have a CREATE grant number to proceed. Grant numbers are provided by CRHC staff after you have completed all pre-application steps, starting first with the Contact Form. If you do not have a grant application number, your application will not be considered for funding.

  • General Project Details

    Applications are considered multi-agency when a request for training includes multiple agencies being reimbursed/covered with CREATE funding. Applications are considered single-agency if the only participants come from the applicant entity or if participants from outside entities are invited but would not be reimbursed or covered by the agency applying for CREATE. All participating agencies listed in multi-agency requests must have an updated organizational profile on OATH.
  • For counties impacted, applicants are STRONGLY ENCOURAGED to include letters of support from agencies within the counties listed.

  • Match and Request Amount Calculations

  • Financial waiver applications and general applications share the same deadlines and eligible course start-date ranges. If a financial waiver application is denied, the general application is omitted from the month cycle and applicant will need to reapply the following month (if course start-date falls within eligible range of the proceeding month deadline). Financial waiver application can be accessed here: https://coruralhealth.org/create-gated-content/create-financial-waiver-application
  • Please enter a number greater than or equal to 1.
  • Enter "50" for standard match requirement if no Financial Waiver application was submitted.

  • Course Info

    Note: Please refer to the CREATE Grant Guidelines for information regarding course requirements and final reporting. Initial EMS Provider Training Courses (EMT, Paramedic, etc.) require successful completion and passing of National Registry certification requirements in order to request reimbursement from this program.

  • Course #1 - EMTS Training and Education Request Details

  • MM slash DD slash YYYY
    Ensure that your course start-date falls within the eligible range for the deadline you are submitting for. Application deadlines and associated eligible course start-date ranges can be found on CREATE webpage: https://coruralhealth.org/create
  • MM slash DD slash YYYY
    The course end-date represents the date that all course requirements have been completed (passed class, completed internships/clinicals, etc.). Approved applications for training that requires National Registry examination are provided a 3-month window after the noted course end-date to take and pass the NR exam.
  • Drop files here or
    Accepted file types: pdf, Max. file size: 50 MB, Max. files: 3.
      (# of credit hours, cost per credit hour, required fees, cost specific supplies, registration cost, etc.)

    • Other Course Costs for Course #1

      Please note that various expenses are ineligible under CREATE - some common ineligible expenses include: background checks, drug screens, uniforms, etc. Full list of eligible/ineligible expenses are available in the grant guidelines found on the CREATE webpage: https://coruralhealth.org/create
    • Drop files here or
      Accepted file types: pdf, Max. file size: 50 MB, Max. files: 3.

      • Course #1 - Service Need Narrative (40 pts Possible)

        Explain the need for educational courses to upgrade or maintain current levels of services. Note - Do not include demographic information related to race/ethnicity of a population or region or the age of current providers at applicant agency(s).
      • Drop files here or
        Accepted file types: pdf, Max. file size: 50 MB, Max. files: 6.
          If you have multiple letters of support, you can upload them here.

        • Course #1 - Cost Effectiveness of Project Budget (15 pts possible)

          Describe how measures were taken to ensure that the most cost effective choices were made. Note - Do not include demographic information related to race/ethnicity of a population or region or the age of current providers at applicant agency(s).
        Save and Continue Later (you MUST copy your link and store it somewhere safe)