Spokane Collaborative Equity Holdback Bucket Funds Request
Request Form More information here: http://www.betterhealthtogether.org/bold-solutions-content/2021-collaborativepolicyfunding
Are there organizations partnering in this work?
If yes, please include the organization's name and contact information.
- {name}
Which equity area does this proposal address? (Affordable Housing, Reducing Family Violence, Access to Behavioral Health, Access to Oral Health) Do you have the support of that respective equity workgroup?
- {name}
Briefly describe the work for which you’re requesting funds. Include population/service area this proposal would serve. If the work is intended to impact policy, please describe the existing policy, intended change, and barriers. (up to 250 words)
- {name}
What community support do you have for this work? How are community members part of the work? Have you talked to people impacted by the issue this work seeks to address? (up to 100 words)
- {name}
Does this work complement or build on existing project or efforts, within the Collaborative or in the community? If so, briefly describe (up to 100 words)
- {name}
Intended outcomes of the proposed work (1-3 goals/outcomes)What community support do you have for this work? How are community members part of the work?
- {name}
Fund request description/narrative. If other funds are supporting this work, please describe. (up to 100 words)
- {name}
Describe the resources you’ll use to achieve the outcomes in the proposal? (organization capacity, staff, tech, etc.) (up to 100 words)
- {name}
Is this request for policy-related work? Please complete the following attestation: *
I attest that these funds will be used for the purpose of education and/or communication related to policy. These funds will not be used for lobbying.
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