Designing Healthier Places team application

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Thank you for your interest in the Designing Healthier Places (DHP) program. The deadline for this application is October 15, 2021.

The 2021 program is limited to five community-based teams. Only teams in New Jersey communities may apply. To be eligible, you must:

*Identify the place where you want to focus your efforts. This could be a neighborhood, town, collection of towns, or a region within New Jersey.

*Have at least one of each of the following on your team -- Health professional (such as a doctor, nurse, medical institution administrator); local or county government official (elected or appointed); and a working artist (someone who gets at least some of their income from creating, producing , performing or exhibiting artistic products. In addition to painter, sculptors, writers and performers, this category also includes chefs, tattoo artists, game designers, and other types of creative professionals.)

*Identify at least one physical or behavioral health issue having a negative impact on your community (such as widespread obesity or drug abuse).

*Confirm that, if your team is selected and completes the program, it will use any seed money provided to begin implementing the strategies that it develops through the program.

This is a competitive program, and only five teams will be selected. Here are some tips to make your application stronger:

*Make your team more than three people, and have it be as representative of as many different interest groups in your community as possible.
*Ask your elected officials for a resolution supporting your application, or ask for letters of support from influential organizations in your community. You can send these letters separately to the Program Director, Leonardo Vazquez, at leo@cpcommunities.org

Questions? Contact Leo Vazquez at leo@cpcommunities.org or 973-763-6352, x1

Designing Healthier Places is produced by Creative Placemaking Communities and is made possible with generous support from New Jersey Health Initiatives.

Email *

Team contact name *

Team contact email *

Team contact phone *

Place you are focused on (can be neighborhood, municipality, county, collection of communities, or region) *

In what county is this place located? *

Please list all your team members, and identify their titles and affiliations. Please identify all working artists with an "A"; all health professionals with an "H"; and all government professionals with a "G" *

What physical or behavioral health issue(s) do you want to address in your community? *

Please describe the impacts (problems) that the physical or behavioral health issues are having in your place. Please use statistics or anecdotes (about organizations or agencies) to help us understand how *

Can your team have the program fee paid by October 1, 2021? *

Yes

Other:

Does your team need help generating the program fee? *

Yes, all of it.

Yes, some of it

Confirm: If your team is selected and completes the program, it will use any seed money it receives as part of this program to implement its strategy. *

Yes

Send me a copy of my responses.

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