Best Intergenerational Communities Awards | 2017 Application 1 Best Intergenerational Communities Awards | 2017 Application 2 Best Intergenerational Communities Awards | 2017 Application 3 Best Intergenerational Communities Awards | 2017 Application 4 Best Intergenerational Communities Awards | 2017 Application SECTION 1: APPLICANT INFORMATION Name of Community Community Website(s) Metropolitan Define Your Community Area City Town County Neighborhood Zip Code School District Other If other, please specify: Primary Contact Name Title Affiliation Address Phone (indicate if best method of contact) Email (indicate if best method of contact) Community Official Name Title Affiliation Address Phone Email 5 Best Intergenerational Communities Awards | 2017 Application SECTION 2: COMMUNITY DEMOGRAPHICS Please provide demographic information for your community (as defined in the previous section) to present a quick snapshot. List the source for each statistic below. (Current data from the US Census Bureau is preferred, if possible.) 1. Total Community Population: 2. Percent Children and Youth (ages 0-24): 3. Percent Older Adults (age 55 and over): 4. Ethnicity: Please express each as percentage of the total community population. Percentages do not have to equal 100: White Black or African American American Indian and Alaska Native Asian Native Hawaiian and other Pacific Islander Hispanic or Latino (of any race) Other race/ethnicity 5. Median Household Income: 6. Median Household Size: 6 Best Intergenerational Communities Awards | 2017 Application 7. Physical Boundaries of the Community: 7 Best Intergenerational Communities Awards | 2017 Application SECTION 3: OVERVIEW In selecting Best Intergenerational Communities, we will focus on communities committed to providing the basic needs along with additional community enhancements that create a desirable place to live for all ages. (Please limit Section 3: Overview to a maximum of 12 pages.) 1. Why should your community be named a Best Intergenerational Community? (Please limit this response to 250 words) 2. Please describe your community’s first intergenerational program and the year of its inception. 3. What makes your community unique or innovative? 4. Who is responsible for ensuring this is an intergenerational community (i.e. is there an identifiable department, unit or coordinating mechanism within the local government responsible for promoting and ensuring collaboration)? a. Explain how your community has an intergenerational commitment that crosses sectors of the community, from local schools and children and youth service providers to older adult service providers, businesses, charitable organizations and local government. b. How does your community recognize and utilize the strengths of each generation to plan and develop policies, systems, and environments that would support positive engagement and outcomes for all ages? 8 Best Intergenerational Communities Awards | 2017 Application 5. Are there funding supports for intergenerational programs? If yes, provide details. 6. Through formal or informal means, how and where does your community enable all ages to share their talents and resources, and support each other? (This could include a community garden, a home safety inspection programming or individual volunteering). 7. Elements of a Community: There are many critical components to a community that is designed for and accessible to individuals of all ages. Please explain what your community is doing to plan, program, provide or serve individuals of all ages, addressing all intentional connections and support across generations. Suggestions of topics, include, but are not limited to: Community Services, Education/Employment, Health and Wellness, Physical Structures, Planning/Policies, Transportation. 8. Provide a specific example/story of how your community has utilized (or plans to utilize) the strengths of all generations to address a specific community challenge or need. SECTION 4: FUTURE PLANS 1. What is or could be a slogan for the intergenerational focus of your community? (Please limit this response to 25 words.) 2. What are your plans to improve or expand your intergenerational activities and connections within your community? (Please limit this response to one page.) 9 Best Intergenerational Communities Awards | 2017 Application SECTION 5: LETTERS OF SUPPORT Please submit three letters of support for this nomination for Best Intergenerational Communities: from (1) a youth (under age 23), (2) an older adult (over age 55) and (3) a person of your choice. Each letter should be addressed to Best Intergenerational Communities Review Panel and include support for how the intergenerational nature of the community has made a positive impact in their life. SECTION 6: ADDITIONAL INFORMATION Please provide any additional information that would explain why your community should be named a Best Intergenerational Community. You may upload up to 5 optional attachments (photos, news articles, documents, etc.) along with your application. SECTION 7: SIGNATURES ______________________________________________ Signature of Primary Contact ______________________________________________ Signature of Community Official _____________________ Date ____________________ Date 10
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