2009Missionand Ministry Fund

Planning Grant Pre-Application

Applicant Organization:
(MBO/Facility/Congregation) / Address:
Relationship to Catholic Health Initiatives:
MBO
Facility within MBO
Participating Congregation
CHSO
JOA
Joint Venture Organization
Strategic Partner Organization / Existing county, state or local coalitions in your area:
Grant Contact Person:
Position/Title: / Phone Number:
Fax Number:
Email address:
Signature of Chief Executive Officer or Congregation Leader:
Name
Signature
(Electronic Signature Acceptable)

Send or Email Pre-Application by October 24, 2008 to:

Diane Jones

Vice President, Healthy Communities

Catholic Health Initiatives

1999 Broadway, Suite4000

Denver, CO80202

(303) 383-2704

or

Questions should be directed to Diane Jones.

PLEASE LIMIT PRE-APPLICATIONS TO A MAXIMUM OF FOUR (4) PAGES. THANK YOU.

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PLEASE CHECK YOUR INITIATIVE AS:

New Initiative:

We have collaborated with a variety of organizations. We are just beginning to bring a broad coalition together including agencies, churches, government, schools, businesses and individual members.

In Process:

Coalition has been formed but has lost momentum. Need to restart the process of building broad coalition. Coalition is formed, but narrowly focused.

In order to apply for a Catholic Health Initiatives Mission & Ministry Fund Planning Grant, applicants must agree to follow the Catholic Health Initiatives defined Process for Building Healthy Communities. A copy of this process is posted on the Catholic Health Initiatives Web site: .

PLEASE RESPOND TO THE FOLLOWING QUESTIONS:

1.Please describe your vision for Building Healthy Communities in your area.

2.Who do you envision participating in a broad-based coalition?

3.How are you defining the community involved in this process (county, neighborhood)?

4.State your goals and objectives for the first year’s work.

5.Briefly state how you might implement the following steps in the Building Healthy Community process:

  1. Organizing the Effort
  1. Convening the Community
  1. Creating a Shared Vision
  1. Assessing Current Realities and Trends
  1. Action Planning

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