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This Request for Applications encourages OhioMHAS-certified Prevention agencies to apply for grants to do Environmental Scans of gambling sites in their communities. The environmental scanning process includes three basic steps: 1) developing an approach to the scanning process, 2) scanning the environment, and 3) analyzing the data collected. All grantees will be using a defined process to carry out the scans, gather data, analyze it and write a report.

Additional information and documents can be accessed by clicking here.

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* 1. Please Complete the Following Contact Information for your Organization

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* 2. Please Complete your Fiscal Agent Information

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* 3. Tax ID Number

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* 4. Requested Funding Amount ($1,500 per gambling site)

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* 5. Identify which gambling sites your organization is applying for from the options below.

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* 6. Briefly describe your organization/agency and any, if applicable, work that has been done in problem gambling. (3,000 character max)

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* 7. Describe your interest in this environmental scan project. (3,000 character max)

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* 8. Describe who will be working on this project, how many will be engaged, and their qualifications. (3,000 character max)

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* 9. Upload any work your organization/agency has done with environmental scans or compliance checks (limited to a one page summary).

DOCX, DOC, JPEG, JPG, PDF, PNG file types only.
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* 10. Upload budget template and narrative

PDF, DOCX, DOC file types only.
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* 11. Upload signed assurances

PDF, DOCX, DOC file types only.
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* 12. Upload W9

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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