Let's Move Pittsburgh Champion Community Award 2022-2023

1. 2022-2023 Champion Community Application

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* Please select the type of award you are applying for:

Champion Community Seed Mini-Grant ($1,500): This application is for schools or community centers that are proposing a new program and are in need of tools and resources to turn their ideas into action. These Champion Community grants will be awarded funding for implementing their new program.

Champion Community Awards Mini-Grant ($1,500): This application is for schools or community centers with an existing program or project that is already in place and can provide Let's Move Pittsburgh with evidence of impact. These projects will be celebrated for their great work and awarded funding for continued support.

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* Champion Community leader or project manager:

Name

Position/Role

E-mail Address

Phone Number

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* A co-lead is required for the Champion Community Project. Please provide the contact information for your program co-lead.

Name

Position/Role

E-mail Address

Phone Number

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* Please provide the names, position/role and email of any additional project team members (including, but not limited to educators, administrators, parents, nurses, school food professionals, school wellness committees, etc.).

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* School, Child Care Facility or Community Center Information:

Facility Name

District (if applicable)

Address Line 1

Address Line 2

City/Town

Zip Code/Postal Code

Phone Number

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* School, Child Care Facility or Community Center Data

Number of Students

Percentage of Students Eligible for Free and Reduced Price Lunch

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* What is the estimated number of children expected to benefit from this program?

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* Are you a public or private institution?

Public

Private

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* Please submit the director or principal's contact information. By submitting this information, you are confirming the principal or director approves of this mini-grant proposal.

Name

Email Address