Active People, Healthy Louisiana Cohort Application

»
Prevention
»
Obesity
»
Active People, Healthy Louisiana (APHL) ...
»
Active People, Healthy Louisiana Cohort ...

Active People, Healthy Louisiana (APHL) Team Proposal

Complete the Proposal to Become An APHL Team!

The Active People, Healthy Louisiana (APHL) team’s proposal is the first step toward creating a community-driven plan to improve local opportunities for walking, biking, rolling, and active transportation. This form helps the SPAN Program and partners understand your community’s needs, current efforts, and desired support. Download the Team Packet Guide to assist in completing the proposal.

APHL Team Proposal

Primary Contact Name(Required)

Primary Contact Phone Number(Required)

Primary Contact Email(Required)

Secondary Contact Name(Required)

Secondary Contact Phone Number(Required)

Secondary Contact Email(Required)

City/Town(Required)

Parish(Required)

In 500 words or less, explain what the problem is and how it impacts your community (access to everyday destinations, safe pedestrian mobility, traffic issues for bikers, etc.).(Required)

In 500 words or less, explain how your community would like to solve the problem. Please include details on the type of technical assistance you would like to receive.(Required)

What population does the problem impact?(Required)

What local organizations are you currently working with to address the problem? Is there a community group actively engaged? If not, can one be built?(Required)

What state partners are you currently working with to address the problem?(Required)

List any funding opportunities or current/upcoming projects related to the problem awarded to your community in the past five years.(Required)

Are you engaged in planning with an organization? If so, what organization?(Required)