An applicant for a cancer secondary prevention grant shall: Submit a completed application to the CCPC by the due date stated in the application packet; and Include in the application packet the following information, as specified in the Department's application packet: An executive summary describing: How the grant funds will be used; What persons will be involved in the application; What cancer secondary prevention activities will be conducted; Whether the proposed activities are included in a recommendation in the Maryland Comprehensive Cancer Control Plan; What population groups will be served and in what jurisdiction groups will be served; What services will be offered, such as: Outreach; Screening; Case management; Quality assurance; Data collection; and Partnership building; What the eligibility for services will be; and What outcome is expected as a result of the grant funds; A description of previous literature in the area documenting the effectiveness of the cancer secondary prevention activity; A description and justification of the need for the cancer secondary prevention activity in the population group to be served; A description of the population to be served including, at a minimum, a description of the following for the individuals to be served: Age; Race; Gender; Residency; Educational level; Income level; and Health insurance requirements of persons to be served; A description of the screening guidelines to be used for clinical services and the eligibility guidelines for these services, including age, symptoms, and, if appropriate, risk factors; A description of the reimbursement levels to be used for clinical services provided with grant funds; A proposed cancer secondary prevention plan describing: The estimated number of individuals to be served; The goals, objectives, and activities to be conducted with the grant funds; Evaluation measures for each activity; Who will be involved in the plan; and What the expected results of the funded activity are; A description of how the proposed cancer secondary prevention activities will address the goal of eliminating disparities between racial and ethnic minorities and the white population; A list of key staff to be involved in the project, including: If existing staff will be used in the project, a description of the experience of the key staff in carrying out similar cancer secondary prevention activities; or If new staff will be hired for this activity, a job description of the staff responsible for carrying out the project; A description of the previous experience of the applicant's organization in implementing similar cancer secondary prevention activities; A timeline showing the expected start date and completion date for each activity to be conducted with the grant funds; An organizational chart showing: Where the cancer secondary prevention grant activities fall within the applicant's organizational structure; and The relationship of the applicant with other organizations involved in the project; A statement that the grant funds will not be used to supplant any existing funding for this cancer secondary prevention activity and, if an applicant receives funding for a similar cancer secondary prevention activity, a list of the funding: Source; Amount; and Period for the activity; A line item budget for the cancer secondary prevention grant; and A written budget justification for each line item requested.