Building Resilient Communities Site Intake Form
Building Resilient Communities (BRC) is a pilot program at Groundwork that connects resources to community needs. BRC provides the "brick and mortar" infrastructure and planning support for community members to then take ownership of a project and maximize its reach. Through small grants and staff support, we help food pantries, churches, farms, schools, and other community-focused sites grow their capacities to positively impact their communities from the ground up. In the long run, BRC aims to promote consumption of healthy, local foods, build agency of food service workers, lower the incidence of chronic diseases, contribute to strong local economies, and establish cross-sector relationships for vibrant, livable communities.

Examples of potential projects could include:
A) A school cafeteria purchasing a food processor to cook meals from scratch, while prioritizing local options when sourcing fresh produce
B) A food pantry purchasing grocery store shelves to prominently display fruit and vegetable offerings, while adopting nutrition guidelines for future food procurement
C) A senior center purchasing a range, salad spinner, food sealer, educational materials, and healthy food signage, while committing to increasing fruit and vegetable intake, reduced sodium, and homemade healthy meals
D) A farmers market purchasing an EBT machine and free produce coupons for kids, while committing to improve their food assistance program
E) A school garden receiving support in planning and staff training, while committing to increasing garden-fresh vegetables on the menu
F) A residential rehabilitation center ordering infused water dispensers, a table top salad bar, and juicers to improve water and produce intake, while upgrading their menu to incorporate healthier food choices

If your organization is interested in becoming a BRC site, please complete the following form and our staff will follow up with you shortly.

For technical assistance, program questions, or accessibility concerns, please contact Groundwork's Food Equity Specialist, Christina Barkel, at christina@groundworkcenter.org or 248-229-5653.
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What is the name of your site, organization, business, or program? *
What is your site's physical address? *
Please select the category tag(s) that best fit(s) the site named above. Select all that apply. *
Required
What county or counties does your site serve?
Approximately how many people does your program reach? This could be the number of households, individuals, or customers served, or how many clients visit or utilize the program. *
Who is the primary audience for this program? Which population(s) are you serving? *
Required
Who will be the contact person for this site ("site coordinator")? Please provide first and last name, and title if appropriate. *
Site coordinator's email address. *
Site coordinator's phone number. *
Does the above site coordinator have authority to proceed with the project, if selected? *
If not, who is the decision maker for your organization? Please enter their name and contact information below:
Why are you interested in becoming a BRC site? *
What specific needs or project ideas do you have? *
Required
If you have additional needs or project ideas that are not listed above, please list them here.
Describe the need for this program in your area. Why is it important for your site be considered? *
If you were to be selected as a BRC site, what are some metrics we could use to justify your participation or evaluate your success? (For example, farms often use pounds of food distributed while food pantries may use number of people served) *
Required
If selected as a BRC site, when would you be able to start on this project? *
Does the site coordinator have enough time and capacity to follow through with this program? *
Has your site/organization ever partnered with Groundwork or the Health Department of Northwest Michigan in the past? If yes, how? *
What else would you like to know about BRC? What else would you like Groundwork to know? Please list any remaining questions or concerns here.
I understand that filling out this form does not guarantee my site to be selected for the BRC program. *
Required
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