HTO Seeds Application

PLEASE APPLY BY MARCH 31

Reach out to cintia.vimieiro@oha.oregon.gov for questions and concerns.

Who is eligible to apply?

• Community-based organizations, faith-based organizations, and regional
health equity coalitions, and other community coalitions who are doing
work aligned with the strategies in the SHIP and addressing the five main
priorities.
• Community-based organizations, faith-based organizations, and regional
health equity coalitions, and other community coalitions that are serving
priority populations.
• PartnerSHIP members are eligible to apply but cannot be a part of the
review process.

Who is ineligible to apply?
• Consortiums or convener organizations that don’t serve the community
• For-profit businesses

For guidelines and more information click here

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* 1. Contact name:

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* 2. Phone number:

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* 3. Email address:

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* 4. Organization name

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* 5. Zip Code

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* 6. Organization tax identification number to pay an invoice

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* 7. Do you currently receive any OHA funds?

Yes

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* 8. Organization's mission statement

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* 9. What is the primary language of the population you serve?

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* 10. Which HTO priority populations does your organization currently work with?

BIPOC - AI/AN

People with disabilities

Low-income

LGBTQIA2S+

Rural

Frontier

Other (please specify)

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* 11. What is the age of the population you serve?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

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* 12. Please describe briefly the work you'd like to showcase. General ideas are okay.

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* 13. How many folks does your organization expect to reach through the Seeds story-telling social media campaign?

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* 14. What implementation areas does your project align with? For more information hover over explore the plan by clicking here https://healthiertogetheroregon.org

Healthy Communities

Healthy Families

Healthy Youth

Equity and Justice

Housing and Food

Workforce Development

Behavioral Health

Technology and Health

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* 15. In what county (or counties) does your target customer live?

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* 16. Is your organization connected with your local CHIP - Community Health Improvement Plan https://www.oregon.gov/oha/PH/ABOUT/Pages/CHIPS-CHAS.aspx - Please write N/A if your organization is not connected to CHIP