UWBC Healthy Aging’s New Program & Service Design Model

Application for Funding to Collaborate

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Healthy Aging Community Collaboratives

The vision for BC is a province-wide network of Healthy Aging Community Collaboratives that strengthen partnerships within and amongst communities and enhance the CBSS sector’s ability to support older adults. This new model will require agencies to work collaboratively to support seniors in their communities through improved referrals and coordination among CBSS agencies and other sectors, particularly health partners and local government.

Funding is available to Community Collaboratives that require financial support to enhance seniors-focused collaboration amongst agencies within their region. This can include costs for venue rentals, food, facilitators, etc. Between $1,000-$5,000 is available per Community Collaborative/Health Service Delivery Areas (HSDA) and Local Health Areas (LHA).

Please note: This funding is not for service delivery. CBSS organizations wanting to apply for funding should agree on, and designate, a single organization to apply on behalf of the present/developing Community Collaborative.

1. Name of the organization that is applying for collaboration funding, on behalf of your Healthy Aging Community Collaborative:

2. Contact person:

3.Title:

4. Email address:

5. Please indicate ALL community organizations/groups that are collectively requesting collaboration funding:

Please click "Add another response" to the right for each organization/group you plan to add.

Organization/Group:

Please click "Add another response" to the right for each organization/group you plan to add.

6a. Please choose your Health Service Delivery Area (HSDA):

If your Community Collaborative border falls outside of or differs from the HSDA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

6b. Please choose your Local Health Area (LHA):

If your Community Collaborative border falls outside of or differs from the LHA, please select "Other" and define your Community Collaborative boundaries.

Please describe your Community Collaborative boundaries:

7. What is the amount of collaboration funding your Healthy Aging Community Collaborative is applying for? ($)

8. Describe the collaborative activities this funding will support:

If you have any questions regarding this funding opportunity, please contact your United Way BC Regional Community Developer:

Vancouver, North Shore, Richmond, Burnaby, New Westminster, Tri-Cities, Surrey,

Sea to Sky & Sunshine Coast Langley, Maple Ridge & Fraser Valley

Dr. Beverley Pitman Indira Riadi

beverleyp@uwbc.ca IndiraR@uwbc.ca

604.969.8331 604.268.1342

Vancouver Island /Gulf Islands Northern BC

Cheryl Baldwin Sarrah Storey

cherylb@uwbc.ca sarrahs@uwbc.ca

250.591.8731 250.699.1681

Interior BC

Lisa Cyr

250.860.2356

For technical inquiries, please contact Mai Nguyen at main@uwbc.ca.