Funding Request Template

A ready-to-send request you can adapt and share with the leader who approves wellbeing or professional development spending. Replace everything in [brackets].

REQUEST SUMMARY

Requested by: [Name, title]
Department or office: [Department]
Approving leader: [Name, title]
Program: The FIT Collective® DistressRx™ Certified Wellbeing Facilitator
Tier requested: [Single Facilitator / Team / Enterprise]
First-year investment: [Amount from your certification quote]
Annual renewal: [Renewal amount from your certification quote]
Add On Call for You seats (10% off certification): [Yes / No, number of seats]
Proposed funding source: [Clinician wellbeing budget / CME and professional development funds / GME / Retention or quality initiative]
Requested cohort start: [Month, year]
Decision needed by: [Date]


REQUEST LETTER

Subject: Funding request: certifying an internal clinician wellbeing facilitator

Dear [Name],

I am requesting [$amount] from [funding source] to complete The FIT Collective® DistressRx™ Certified Wellbeing Facilitator program. Certification would allow me to deliver a physician-designed stress regulation program to our clinicians internally, on a schedule that fits our organization, year after year.

Why now. [One to three sentences on local need: wellbeing survey results, turnover, clinician feedback, or response to a recent workshop.] Clinician burnout affects retention, team function, and the care our patients receive. Today we have [describe current wellbeing efforts], but no one inside the organization trained to deliver a structured, evidence-informed program consistently.

What the program includes.
- Six 2-hour live virtual training sessions with physician faculty, designated for up to 12 AMA PRA Category 1 Credits™
- A supervised practicum session delivered here, reviewed by faculty with written feedback
- Competency-based certification, granted only after demonstrated skill
- An organizational license to deliver DistressRx™ and the full facilitator toolkit
- Quarterly faculty support calls, plus pre and post session surveys to measure impact

Why this is a sound investment. A single outside DistressRx™ workshop costs [quoted workshop amount]. Certification lets us deliver sessions internally as often as our clinicians need, for a first-year investment of [quoted first-year amount] and [quoted annual renewal] per year after that. If we offer [number] sessions a year, our cost comparison shows [projected savings or break-even timing based on our quotes].

Professional development value. The training is offered by The FIT Collective®, an ACCME-accredited provider, and is designated for up to 12 AMA PRA Category 1 Credits™. [It may qualify for our CME or professional development funds.]

Alignment with our goals. This supports [our strategic plan, clinician wellbeing goals, retention targets, or other institutional commitments].

Scope and safety. Certified facilitators deliver education and coaching skills, not clinical care. Clinicians who need more support will be referred to [our EAP, physician health program, or mental health services].

How I will report results. Within [6 and 12] months I will share the number of sessions delivered, participation, and pre and post survey results.

My request. Please approve [$amount] from [funding source] by [date] so I can join the [month] cohort.

Thank you for considering this investment in our clinicians.

[Name]
[Title]
[Email and phone]

Attachments: Program overview and certification quote from The FIT Collective®. [Our most recent wellbeing survey summary.]


COST COMPARISON (Single Facilitator tier)

Sessions per year | Outside workshops per year | Certification, year 1 | Certification, each year after
1 | [Quoted workshop amount] | [Quoted first-year amount] | [Quoted annual renewal]
2 | [Quoted workshop amount x 2] | [Quoted first-year amount] | [Quoted annual renewal]
3 | [Quoted workshop amount x 3] | [Quoted first-year amount] | [Quoted annual renewal]
4 | [Quoted workshop amount x 4] | [Quoted first-year amount] | [Quoted annual renewal]

The FIT Collective® provides education, coaching, and wellbeing support. It does not provide medical or mental health treatment. Certification does not confer a clinical credential.