Let’s Get Healthy Initiative Grant Application

February 1, 2023 – September 1, 2023
All funds must be used by September 15, 2023

Name of Group/Organization:
Address of Group/Organization:
Adult contact name and phone (18 +)
Contact email address:
Target Populations:
Amount Requested:
1. Organizations are to provide and host 3 months or more of Physical fitness classes 1 or 2 times a week for 1 hour with an average size class of 12-15
 

Explain how you will execute this activity.
Please provide in detail each class and the target populations you plan on serving, the type of class, length of class, and activities you will provide.

2. Provide education and screenings from local healthcare facilities.
 

Explain how you will execute this activity.

We agree to provide SCHC with a Summary of updated activities, dates, times, and location of each class.

We agree to provide SCHC with a summary report of the number of attendees, milestones achieved.

I agree that all the information provided is true and I am authorized to request funds for the organization listed above.

I AGREE

Your Name:
Your Title:
 

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