1. Promote an inclusive environment and climate for all to thrive
2. Reduce health disparities
3. Focus on equitable access for our patient population and a climate/environment that ensures equitable outcomes for patients
4. Engage the community in our work and meet the needs of our community members, in particular those who are most vulnerable
5. Provide educational opportunities that promote social justice, health equity, health
   disparities, social determinants of health and are presented by a diverse set of
   leaders/scholars
6. Review structural ways that JEDI is created and intentionally practiced in our policies,
   programs, practices, or procedures

Examples of eligible activities include special projects, conference travel, professional training,
honorarium/travel for special speakers, and creating an EDI curriculum, among others. Faculty
salary cannot be included in the project/activity budget plan. Please provide the following
information to DOMEDI@mednet.ucla.edu. Applications will be accepted, evaluated by a
Divisional faculty committee, and awarded as funds are available (max of two per division,
individuals eligible once per 24 months). Early career faculty partnered with Senior
faculty/leadership are encouraged to apply. Partnerships across divisions will also be
considered. Applications are reviewed on a rolling basis and awards are granted as funds are
available. For any questions, please contact Cristina Punzalan at cpunzalan@mednet.ucla.edu.

A complete 1-2 page application in a word document with no smaller than 1” margins Arial 11
point font includes the following:

First & Last Name:
Email:
Division:
Title:
Description of activity (maximum 500 words):
Justification for activity and relevance to Divisional goals and DOM EDI mission (maximum 500
words):

Statement confirming that the applicant’s Division Chief and/or other leadership/supervisor
approves this activity:
Name of Division Chief or Other Faculty Leadership/Supervisor:
Email of Division Chief or Other Faculty Leadership/Supervisor:
Line Item Budget/Justification:
Fund Manager Name:
Fund Manager Email:

Of note, a post activity report (1-2 paragraphs) is also required within 30 days of completing the
project/activity that includes a summary of information learned, benefit to the Division/DOM EDI,
how information was shared with the Division and DOM EDI, and plans for the future.

Connect with us:
on the web at https://www.uclahealth.org/departments/medicine/edi
on IG @UCLADOMEDI
in the office at 1100 Glendon Suite 710, Los Angeles, CA 90024
by email at domedi@mednet.ucla.edu