1000 Hours Round 2

1,000 Hours a Year Initiative: Addressing Lead and Radon in Learning Environments

Please fill out the following questions as accurately and as thoroughly as possible in the space provided.
Q. 1 - Name of School District or Early Learning Center*
YesNo
Q. 2 - Name of Facility (if different than above)
Q. 3 - How many buildings are you applying for?
Q. 3 - Facility Address*

Building Name

Street Address

CityState / Province

Postal / Zip CodeCountry
Q. 11 - Age of Building (if known)
Q. 12 - Approximate total square footage of building*
Please provide square footage for your program or school's occupied space.
Q. 14 - Are any of the children you serve residing in an Environmental Justice community? If yes, please list each EJ community below.*
If you are unsure if the communities you serve are EJ communities, check the map here: https://data.wprdc.org/dataset/environmental-justice-census-tracts.
Q. 13 - Number of children/students served*
Please provide the total enrollment for your school or program.
Q. 9 - Type of facility (e.g. High School, Elementary School, Home-Based Childcare Provider)
Q. 10 - If school, do you have child care center on site?*
Q. 16 - Percentage of children eligible for CACFP, WIC or SNAP programs (early learning centers).*
Q. 15 - Percentage of children eligible for Free and Reduced Lunch Program (K-12 buildings)*
Q. 4 - Employer Identification Number (9 digits)
Also known as the Federal Tax Identification Number.
Q. 5 - Contact Name*

First NameLast Name
Q. 6 - Contact Title/Position
Q. 7 - Contact E-mail*
Q. 8 - Phone Number*

Area CodePhone Number
Lead in waterLead in paint/dustLead in soilRadon
On-site supportTesting/mitigation proceduresNames of testing and mitigation consultantsCommunication/messagingIf other, please write in box below
Q. 18a Other
Lead and Radon Project Grant Application

Project Details
YesNoI'm not sure.
Lead and Radon Grant Project Budget

Details
Q. 20 - Have you estimated the cost of testing and/or mitigation/received quotes? If so, please describe below.
Q. 21 - Is there any other funding you have secured for this project? Please describe.
Lead and Radon Project Funding

Details
Grant Application Submit

Submit my Application
The information contained in this application, as well as testing results, will remain confidential. The only information that will be made available to the general public is the name of the entity receiving funds from Women for a Healthy Environment.
If you have tested for lead and/or radon, please provide documentation of test results below. If you have received quotes for lead or radon testing/mitigation, please submit below.
Yes
Yes
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Addressing Lead and Radon in Learning Envrionments

Mini-Grant Program for Schools and Early Learning Centers
Please let us know if you have any questions or concerns.
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1,000 Hours a Year Initiative: Addressing Lead and Radon in Learning Environments

Lead and Radon Project Grant Application

Lead and Radon Grant Project Budget

Lead and Radon Project Funding

Grant Application Submit

Addressing Lead and Radon in Learning Envrionments