2020 Healthy Built Environment Letter of Intent

1. Applicant Name *This question is required.

2. Contact Person Name *This question is required.

3. Contact person email address *This question is required. This question requires a valid email address.

4. Please re-confirm email address *This question is required. This question requires a valid email address.

5. Contact person phone number *This question is required.

6. Which phase or phases will be the focus of your project? (Check all that apply.) *This question is required.

Phase A: Convening, Assessment, and Planning (maximum $50,000, must be completed within 18 months)
Phase B: Programming (maximum $10,000, must be completed within 12 months)
Phase C: Infrastructure Design/Construction (maximum $80,000, must be completed within 24 months)

7. Please describe a localized situation/need that you hope to address with this grant. What population will you be serving, and how will this project promote equity? (maximum 350 words) *This question is required.

8. Please provide the following information about your project:

A brief project narrative, to include a brief description of the proposed project that will meet the need (as described in question 7).
Your organization's capacity to complete the proposed activities.
Projected timelines for major milestones.
(750 words max)

*This question is required.

9. Please describe prior convening, planning, or programming activities relevant to the project proposal that demonstrate engagement of the targeted communities and population. This can be bullets or a narrative. (250 words max) *This question is required.

10. Please provide a budget narrative that exhibits thoughtful and appropriate use of dollars. It should answers these questions: What do you want to do? How much do you think it will cost? How did you come up with that estimate? (250 words max) *This question is required.

11. Which county will your project take place in? *This question is required.

12. What city will your project take place in? *This question is required.

13. Are you seeking funding for an existing or ongoing program? *This question is required.

If yes, please provide an explanation of what existing or ongoing programs this grant will fund. (150 word max) *This question is required.

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2020 Healthy Built Environment Letter of Intent - copy