Attachment_F_Intake_Form.pdf
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- Attached to
- RFP_HLTH_Youth Climate Action Projects
- Solicitation number
- 0000004277
- Issued by
- Minnesota
About this file
This is an intake form for the City's Green Careers Exploration Program, which supports youth-led climate action projects in Minnesota. The form serves as the application document for organizations seeking to participate in the program and provide climate action initiatives targeting youth engagement. The intake form requests detailed information about proposed projects, including project objectives, target demographics, implementation timelines, and expected outcomes. Applicants must complete all required sections of the form to be considered for selection. The form functions as a standardized mechanism for collecting essential project data to enable the City to evaluate proposals against program criteria and funding availability.
The intake form collects information regarding project budget requirements, organizational capacity, and alignment with climate action goals. Respondents are required to provide details on funding needs, project staffing, community partnerships, and measurable deliverables. The form establishes baseline documentation requirements for proposals submitted under the RFP for youth-led climate action projects, ensuring consistency in application review and evaluation across all submitted proposals.
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Text version
ATTACHMENT F
INTAKE FORM
Organizations should assist youth in completing this intake/demographics form. We are asking for this information to evaluate our program and make sure we are meeting the needs of our students.
Only staff from the Minneapolis Health Department will have access to individual-level data.
Name:
Email:
Phone Number:
Age:
Race/Ethnicity:
Gender:
Primary language(s) at home?:
Address (including zip code):
What is the highest education you have completed? (check all that apply)
Less than high school High school or equivalent (like GED) Associate’s degree or other two year education Bachelor's degree or other four year education Technical training after high school Master's or higher post-secondary education Other
| Name: |
| Email: |
| Phone Number: |
| Age: |
| Gender: |
| Primary languages at home: |
| Address including zip code: |
| Race_Ethnicity: |
| Less than high school: Off |
| High school or equivalent: Off |
| Associate's degree: Off |
| Bachelor's degree: Off |
| Technical training: Off |
| Master's or higher: Off |
| Other: Off |
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