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Application to Host a Walkable Community Workshop
  Organization Information Local Coordinator1
Name:
Type/Title:2
Address:   same as organization
 
 
 
 
Phone:   same as organization
 
Fax:   same as organization
 
Email:   same as organization
 

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:


Or you may attach a copy of their resume or CV:

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.

Please briefly describe the target community:
1. Population:

2. Median household income:

3. Median age:

4. Ethnic breakdown:

Please list the top three current concerns in your target area related to walking, bicycling and public transit:
1.
2.
3.

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:

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?