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Organization Information |
Local Coordinator1 |
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| Type/Title:2 |
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| Address: |
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same as organization |
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| Phone: |
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same as organization |
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| Fax: |
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same as organization |
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| Email (required): |
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same as organization |
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| 1To apply, a local coordinator representing the community must be the contact person responsible for preparing the workshop in conjunction with a California Walkability Expert. |
| 2Type can be local government, public health department, nonprofit, planning agency, etc. |
Qualifications: Provide a brief summary (three to four sentences) of the experience and current job responsibilities of the person assigned to this project:
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Or you may attach a copy of their resume or CV:
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| Funding |
| Please identify the source of your funding for this project. We encourage you to collaborate with community partners though it is not a requirement. |
| Source #1: Amount: |
| Source #2: Amount: |
| Source #3: Amount: |
| Total: |
$1,200 |
| Target Area |
Please indicate the workshop focus(es) that best applies to the needs of your target area:
Safe Routes to School Safe Routes to Transit Safe Routes for Seniors Safe Routes to Healthy Foods Neighborhood/Main Street Revitalization New Development and Planning Other: |
Please identify and describe the specific target area the workshop will focus on (for example, a 1-2 mile radius around a specific school site, transit hub, Main Street, etc.). Selecting an appropriate site allows for a productive discussion of specific problems and solutions during the workshop. Sample
In your description please include relevant information such as boundaries, problem areas, density, demographics, etc.
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Please briefly describe the target community:
1. Population:
2. Median household income:
3. Median age:
4. Ethnic breakdown:
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Please list the top three current concerns in your target area related to walking, bicycling and public transit:
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Please indicate any upcoming changes in your community, such as a comprehensive plan update, a road reconstruction project, a new school being constructed, a new development coming to an area, new transit service, new bicycle facilities or a safety issue:
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| Reasons for Applying |
Please describe why your community wants to host a Walkable Community Workshop. What realistic outcomes do you expect? What is your ideal outcome?
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Type the letters shown above:
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