Exit this survey Notice of Intent to ApplyBuilding Healthy Communities This Notice of Intent to Apply is due by midnight on Feb. 12, 2010. In reply, we will e-mail a confirmation to you. Please visit bcbsm.com/buildhealth to download application forms.The following school is notifying Blue Cross Blue Shield of Michigan its intent to apply for the Building Healthy Communities: Engaging Elementary Schools and Community Partners grant. The Notice of Intent to Apply does not bind the school to actually applying. Question Title Elementary school information School name: School district: City: County: Question Title School principal Name: Phone: E-mail: Question Title Primary contact/champion Name: Job title: Primary contact phone: Primary contact e-mail: Question Title Number of students in the school: Question Title Number of academic classrooms in the school: Question Title The school plans to apply for these community portions of the grant: Promoting Active Communities assessment Safe Routes to School assessment Promoting Active Communities implementation None of the above To submit this Notice of Intent to Apply, please click Done below. It will be submitted and this browser window will close. Done