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Original Request ❑ <br /> Budget Revision ❑ <br /> ALLOCATIONS REQUEST CHECK LIST <br /> This document is designed to guide your conversation with county agencies, partners,contractors,and <br /> others. The intent is to ensure,to the best of our ability,that your good idea is supported with the <br /> necessary funds. <br /> Section 1: General Information: <br /> Please see the workflow of funding approval for more information on our process. <br /> County Covered (please list): ©ST:S.� cm '\U <br /> Person Submitting Form: fl`( `�y\4 Date: <br /> Section 2: Alignment with the strategic directives of CTGP: <br /> Does your project align with one of these directives? (Check all that apply). <br /> ➢ Healthy Eating: <br /> ❑ Increases access of low-income communities to fresh fruits and vegetables by creating new farmers <br /> markets <br /> ❑ Increases access of low-income communities to fresh fruits and vegetables by enhancing farmers <br /> markets <br /> ❑ Increases access of low-income communities to fresh fruits and vegetables by engaging corner or <br /> convenience stores in healthy food choices initiative <br /> ➢ Active Living: <br /> Q!PUA/Shared Use Agreement PRomprehensive Plan ❑Allied Plan <br /> ➢ Tobacco Free Communities: <br /> ❑ Promotes the implementation of smoke-free and/or tobacco-free public spaces,and parks and <br /> recreational facilities <br /> ❑ Promotes the implementation of smoke-free and/or tobacco-free colleges <br /> ❑ Promote the implementation of government buildings,or indoor spaces <br /> ❑Smoke-Free Multi-Unit Housing <br /> ➢ Communicating Successes: (Communicates successes in any of the strategic directive areas) <br /> ❑ Paid Media ❑Campaign Media ❑Social Media <br /> ➢ Capacity Building: <br /> ❑ Workshop/Training ❑Coalition Meeting <br />