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NIHB Assistance Request Form

NIHB can conduct conference calls, webinars and specialized workshops covering a range of topics to support the sharing of grantee’s innovative strategies to increase accessibility of traditional healthy foods in their communities, preserving traditional ways of health, and sharing stories of hope for preventing obesity and type 2 diabetes. These services are available to all the NDWP Traditional Foods grantees and can be provided by phone, fax, email, or online. Examples of technical assistance and cross-program sharing that grantees can access include the following:

Traditional Foods Grantee visits to other traditional foods communities (travel supported by the NIHB contract)
Resource identification
Information sharing and dissemination
Online forums
Webinars, website, and social media
Partnership development with other tribal entities and others engaging in traditional foods efforts
Facilitation of selected Traditional Foods Grantee presentations at two conferences during the course of the contract

Please specify what kinds of services you are requesting:
(check all that apply)

	Tele-assisted Training or Technical Assistance (through phone & email)
	Electronic Resource Request
	Webinar Training or Technical Assistance (via Webex system)
	Selected Traditional Foods Grantee visits to other Native community engaged in traditional foods efforts
	Selected Traditional Foods Grantee travel to two conferences to present on their traditional foods efforts

Describe the technical scope of activities requested:

Identify the timeline of needed assistance, if applicable:

Tribe & Program Information

Tribe/Organization & Program Name*:
City*:
State*:

Contact Information

Name*:
Title:
Email*:
Phone:
FAX:

* Required Fields.

Public Health Inquiries:

Kim Vigue, M.S.
Public Health Project Coordinator

National Indian Health Board
926 Pennsylvania Ave, SE
Washington, DC 20003
Phone: 202-507-4082
Email: kvigue@nihb.org

Paul R. Allis, B.S.W, M. Ed
Director of Public Health

National Indian Health Board
926 Pennsylvania Ave, SE
Washington, DC 20003
Phone: 202-507-4085
Email: pallis@nihb.org