Grant portal proposal

One secure, phone-friendly place for EMS providers to apply, upload, sign and submit, with the records your audits will ask for.

Prepared for
Kerry Moody and Sara Crochet, Arkansas Ambulance Association
Stage
Stage 1: EMS-CONNECT grant portal
Arkansas Ambulance Association

The goalEvery eligible provider applies on time, and every application is easy to find later.

We will build a grant page and application on a Matmon-based platform that links from the Grants button on your current Squarespace site. Every submission lands in one organized system with a signed, timestamped copy, so Sara can pull what a committee, a state reviewer or a federal auditor asks for in minutes instead of days.

arkansasambulance.clientshare.com/ems-connect
Sample desktop view of the EMS-CONNECT page. Content will follow the committee-approved application.

What applicants will seeRead, apply and sign from a phone.

Many directors will open this from a phone between calls. They see the key facts first so they know if the grant fits, then move through the application one step at a time. Progress saves as they go, so they can stop and come back.

The program page

Arkansas Ambulance AssociationGrant Opportunities

Home › Grants › EMS-CONNECT

Now accepting

EMS-CONNECT Rural Health Transformation Grant

EMS-CONNECT is open for applications from licensed EMS providers. Applications are due by the deadline set by the grant committee.

  • Who can applyLicensed EMS providers
  • Year 1 countiesPopulation under 25,000
  • Local match5%
  • DeadlineSet by committee
Purpose

EMS-CONNECT strengthens rural emergency care across Arkansas. Funding helps providers replace aging ambulances and add:

  • Telehealth communications and connectivity
  • Patient monitoring equipment
  • Data sharing and training
  • A link to the statewide Patient Navigation Hub

Priority goes to rural and frontier agencies with the greatest barriers to care.

Grant awards

Award types and amounts are set by the grant committee after vendor pricing is final. Eligible items are purchased through the Association.

One application per organization. A 5% local match is required.

Read the Request for Proposals in Key Materials for what funds may be used for.

Eligibility requirements
  • Licensed EMS provider in Arkansas
  • Serving a county with population under 25,000 in Year 1
  • Able to provide the 5% local match
  • Agrees to quarterly data reporting
How to apply

Complete the application online, upload your documents and sign electronically. You can save and come back at any time.

Prefer paper? Download the application, sign it and scan or mail it back.

Questions? Talk with us before you apply.

Key dates
  • Applications openTo be announced
  • Application deadlineTo be announced
  • Award notificationTo be announced
  • Year 1 funds spent bySept 30, 2027
Informational webinar

An application webinar will walk through each step. The recording, slide deck and transcript will be posted here.

Webinar slide deck Webinar transcript
Key materials

Please review before applying.

Request for Proposals Printable application Budget worksheet Local match letter Signature page
Contact

Kerry MoodyExecutive Director
Program questions
501.904.1764
kmoody@arkansasambulance.com

Sara CrochetAssociation Manager
Application and portal help
scrochet@arkansasambulance.com

Manage your grant

Already applied? Log in to check your status, add documents we request and download your signed copy.

Log in
Arkansas Ambulance Association 1423 W 3rd St, Unit 7
Little Rock, Arkansas 72201
Mail: P.O. Box 30, Little Rock, Arkansas 72203
Start your application

Scroll inside the phone to see the full page

The application

EMS-CONNECT ApplicationStep 3 of 5

Supporting documents

Sample County EMS
Replacement ambulance
Add a documentPDF, photo or scan from your phone
Fleet inventory.pdf
Local match letter.pdf

Progress saved. You can finish later.

Continue

Signed and received

EMS-CONNECT ApplicationReview and sign
Jordan Smith
Authorized signer, Director
Application received
Submitted
Nov 18, 2026, 2:14 PM CT
Signer
Jordan Smith
Verified email
Yes
IP address
Recorded
Signed copy
PDF emailed

A copy of the signed application with its signing certificate goes to the applicant and to the Association.

Download my signed copy

Sample screens to show the idea. The real pages will use your final application, guidelines and dates once the grant committee approves them. Providers who still prefer paper can download, print and mail or scan it back, and those come into the same system.

Your team's view in PortalSample data
212Providers notified
148Opened the email
37Applications started
22Signed and submitted
ProviderCountyStatusSubmitted
Sample County EMSLincolnSignedNov 18, 2:14 PM
River Valley AmbulanceDeshaNeeds documentsNov 17, 9:02 AM
Delta Rescue ServiceChicotIn progressNot yet
Ask it in plain English: "Show me every provider in our 51 counties who opened the announcement but has not started an application."

You and Sara get an email the moment an application is submitted. From there you can request a missing document, see who has not opened the announcement, resend it with a new subject line, and export a full record for the committee or an audit.

Our recommendation

Stage 1: the EMS-CONNECT grant portal.

This is everything needed to open applications for EMS-CONNECT: the program page, the online application with electronic signature, the system behind it, and the launch announcement to your providers. Nothing else is required to get started.

$5,000 Grant portal build One time. Half at signing, half at launch
$150 / mo Portal Hosting, CRM, e-signature and email, starting at launch
$2,500 To start this week Due at signing. Your committee preview follows.

What the $5,000 includes

EMS-CONNECT program page

A clear page for the grant, laid out like the Rapides Foundation example you liked: overview, who can apply, key dates, what to have ready before starting, guidelines to download and common questions. Room to add your grant consultant's slide deck and the application webinar when it is recorded.

Online application

Your current fillable PDF rebuilt as a step-by-step online form that works on phones, tablets and computers. Applicants can save and come back, upload supporting documents, and still download a paper version if they prefer.

Electronic signature with a timestamp

Applicants sign online. Each submission produces a signed PDF with a signing certificate showing the date and time, signer, email and IP address. A copy goes to the applicant and one stays with the Association.

Submissions into one system

Every application flows into Portal as a provider record, tagged by program and county, with its documents attached. You and Sara are notified on every submission, and you can request more documents from the same record.

Provider list and launch announcement

We load your Department of Health list of licensed EMS providers and send one launch announcement with a link to the portal. You can see who opened and clicked, and resend to anyone who did not open it with a different subject line.

Reporting and access

Status reports and exports for committee scoring, state reporting and federal audits. You decide who on your team, committees or board can log in and what each person can see, so provider data stays private.

How it works with what you already have

Your website

Squarespace stays

Your Grants button links to the portal. Nothing else on the site has to change for Stage 1.

Updates

One month included

For the first month after launch, changes are included: a new notice for applicants, a revised date, a clearer question. Just tell us what you need.

TechLogic

No duplicates

We will coordinate with TechLogic so Portal fills the gaps around your new subscriptions and AI tools instead of repeating them. It works with Canva.

New features beyond the scope above, and new grant programs after Stage 1, are quoted separately before any work begins.

Why the portal matters

A large award, a short window and a lot of records to keep.

The grant moves fast once vendors are chosen, and the reporting continues long after the money is spent. The portal is built for both.

$10M

EMS-CONNECT award to the Association through Arkansas's Rural Health Transformation Program (Arkansas Democrat-Gazette).

2 of 3

Arkansas counties fall under the 25,000 population line for first-year eligibility (Arkansas Democrat-Gazette).

Sept 2027

Year 1 program dollars must be spent by September 30, 2027 (Arkansas Legislature briefing).

Quarterly

Data reporting from participating EMS agencies, with a third-party evaluator reviewing the program (Arkansas Democrat-Gazette).

Timeline

A preview for your grant committee first, and live when you are ready to open applications.

  1. This week: sign and start

    Sign online and send the $2,500 deposit. Send us the draft application, any guidelines and the grant consultant's slide deck.

  2. After signing: committee preview

    A password-protected preview of the program page and application on your own ClientShare link, ready to show at your grant committee meeting.

  3. After committee approval: finish and test

    We put in the approved application, eligibility and dates, connect submissions to Portal, load the provider list and test signing from phones and computers.

  4. When vendors are set: go live

    The Grants button points to the portal and the launch announcement goes out. The second $2,500 and the $150 monthly Portal begin at launch.

  5. First month after launch: updates included

    We make the changes you need while applications come in, and set up the reports your committee and auditors ask for.

Approval

One signature, and we start this week.

Signing approves Stage 1, the $5,000 grant portal build and the $150 monthly Portal described in this proposal. The signing page you use is the same kind your applicants will use, so you will see the timestamped certificate for yourself.

EMS-CONNECT Grant Portal Agreement

Arkansas Ambulance Association · $5,000 build + $150 a month Portal

Arkansas Ambulance Association

Arkansas Ambulance Association

Signature

Kerry Moody, Executive Director

Date

Review and sign online

This opens your agreement on a secure signing page. Read it over, add your signature, title and date, and press submit. Once you submit, a signed copy with its signing certificate is emailed to you and to us.