Just in the Bronx: Our Voice, Our Choice
Call for proposals and participation - September 22, 2012

The Bronx is home to dozens of farmers markets, hundreds of community gardens and more park space than any other borough, all of which provide residents with multiple opportunities for active living and healthy eating. At the same time, the Bronx has had the worst statistics for decades when it comes to health, environmental, educational and economic indicators.  Fortunately, Bronx residents are building upon community assets to develop some of the most innovative and successful programs to improve our health. Schools are growing gardens, youth are advocating for healthy foods in their local bodegas, churches are incorporating health into their ministries and community members are speaking out to their policy makers. It’s time that community members come together with elected officials and community leaders to participate in a day of action to celebrate successes, identify solutions, develop partnerships and create a dialogue to eliminate health injustices in the Bronx.
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Name *
Organization
Address
Email *
Phone number *
Website
Who are you? *
(check all that apply)
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Area of Expertise? *
(check all that apply)
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How would you like to participate in the summit? *
Note: Youth are ENCOURAGED to present at the summit!
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If you would like to nominate a person or group, please list them and their contact information here:
If you would like to have a table, please provide a brief description of what materials you will distribute at your table. If you wish to have people sign a petition at the table, please indicate what the petition is asking for.
Which of these topics are you most interested in hearing about at the Summit? *
(please select your top 5)
Required
If you are interested in presenting at the “Just in the Bronx” summit, please review the Guidelines and answer the following questions:
Speaker Guidelines:  Please prepare a presentation about nutrition and/or fitness that either highlights successful initiatives that could be replicated throughout the Bronx or proposes a new idea. Presentations should be no more than 10 minutes long.  Presenters may use media such as PowerPoint and/or video.  If using PowerPoint, please minimize the number of words on the screen, using mostly visuals which you can describe in words.  
REQUIRED: In 100 words or less: What do you see as the major challenge(s) to healthy eating and/or being physically active in the Bronx?
REQUIRED: In 250 words or less: Describe your plan to overcome the challenge you identified above? Address the following: (a) Specifically how it would improve the nutritional and/or physical well-being of Bronx residents; (b) Community's and borough's invovlement; (c) Timeframe of the project and its goals; (d) If there are programs currently working on this issue, please identify how you would collaborate with them or incorporate their ideas into your model.
Proposals will be evaluated on uniqueness, thoroughness of ideas and scalability
OPTIONAL: Video submissions are encouraged and may be posted on our website following the summit.
If you would like to submit a video, please upload the video online and copy the url into the box below.
Established programs only: Do you have resources that could be shared with others who want to implement your program or idea?  
Where did you hear about the summit? *
(check all that apply)
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I would like to receive updates from Bronx Health REACH. *
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Please return no later than August 20th by submitting online or mailing to:
Bronx Health REACH, Attn: Kelly Moltzen
Institute for Family Health
16 E. 16th St
New York, NY 10003

Thank you!  If you have not already done so, please register at http://www.brownpapertickets.com/event/263383 if you plan to attend the Summit.
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