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SHIP Neighborhood Mini -Grant Application 202IV <br />Prior to completing this application, please review the Anoka County SHIP Neighborhood Mini -Grant Instructions. <br />Any questions about the application can be sent to SHIP@co.anoka.mn.us <br />Today's Date <br />Organization/Group Name <br />Organ izatio n/G rou p Address <br />Approximate number of community or <br />group members that would be <br />impacted by this project <br />Name of Primary Contact <br />Phone Number of Primary Contact <br />Email Address of Primary Contact <br />Give a brief explanation/background of your organization/group. <br />' • • •or <br />Project Goal(s) <br />What are the goals of the project? <br />Project goals must contribute to <br />one of the three Top Areas listed in <br />the Instructions sheet. <br />Description <br />Provide a general description of the <br />project and please include an <br />explanation for why the project is <br />needed. Please list any other <br />organizations or partnerships that <br />C <br />Anoka County Anoka County Public Health & Environmental Services ship <br />2100 3,dAve,Suite 600 <br />HUMAN SERVICES DIVISION Anoka, MN55303 <br />SHIP@co.anoka.mn.us statewide health <br />Public Health & Environmental Services www.goanokacounty.org improvement partnership <br />Supported by the Statewide Health Improvement Partnership, Minnesota Department of Health <br />