Post-secondary education (college, technical school). Reporting Requirements: A one-page written report must be provided
Capacity Building Resources for Asthma and Indoor Air Quality The American Lung Association of the Upper Midwest is pleased to offer capacity building resources to enhance asthma and indoor air quality knowledge and skills. Applications are being accepted for projects implemented in the metropolitan areas of Chicago, Kansas City, Indianapolis, Milwaukee, Minneapolis/St. Paul, and St. Louis. Timeline for Accepting Applications: Applications accepted from March 15, 2017 through December 31, 2017 or until all funds are expended. All capacity building projects must be completed by December 31, 2017. Anticipate up to four weeks between submission of application and notification of award. Please describe your organization (check all that apply): Faith-based organization
Professional association
Health care organization
School (K-12 grade)
Local public health department
Child care centers
Nonprofit organization
Worksites
Post-secondary education (college, technical school)
Other_____________________________________________________________
Reporting Requirements: A one-page written report must be provided to the American Lung Association of the Upper Midwest before any payment is made. A template for this report will be provided. All reports must be submitted by December 31, 2017. Application: Organization Name____________________________________________________________________________________________________ Contact Name________________________________________________________________________________________________________ Mailing Address__________________________________________________ City________________________State_________ Zip____________ Phone Number________________________________________________________________________________________________________ Email Address_________________________________________________________________________________________________________ Attach completed W9 form
Check which of the following your capacity building project will address: Conference or meeting support
Staff training around indoor air quality
Policy development around asthma management
Student self-management education using Kickin’ Asthma (7-12th grades)
Policy development around indoor air quality monitoring
Student self-management education using Open Airways for Schools (2-6th grades)
Requesting travel and registration scholarships for:
Surveillance/case identification of asthma
o Asthma Educator Institute
Webinar support
o Implementation and Interpretation of Spirometry Course
Workplace indoor air quality assessment and remediation
o Indoor Air Quality training
Worksite asthma management education
School environmental assessment and remediation Staff training on asthma management
Other_________________________________________________________
Please describe your capacity building project. Please list 2-3 clear, measurable deliverables for this project.
Describe the population this project will serve:
Please itemize your American Lung Association capacity building needs. If you are requesting funds, please itemize your budget not to exceed $1,500. (Capital funds or indirect rate will not be considered.)
Please submit your completed application to: Val Haga | Lung Health Manager | American Lung Association of the Upper Midwest
[email protected] | Direct: 651-268-7591 | Fax: 651-227-5459
