Ends on February 21, 2018

By submitting this application, you agree to the following evaluation requirements of the Neighborhood Health Connection Grant:

  • Complete a brief survey on behalf of your organization at the conclusion of your activity and after six months.
  • Provide contact information (either email or postal mail addresses) for all activity participants. This information will be used only for the purposes of sending surveys and conducting evaluation. We will not ask for any protected health information.
  • Collect surveys from participants about their experience in your activity.
  • If needed, assist Allina Health staff in collecting surveys from participants six months after the completion of the activity
You may save and come back to your work at a later time by scrolling to the bottom of the application and clicking "Save Draft". You can access your application again by visiting https://allinahealth.submittable.com/login and signing in to your account. 

*Note: this application works best using Google Chrome.