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Council Action Form

  1. Action Item Summary
  2. Committee/Department*
  3. Action Item Type*
  4. Community Impact: Utilizing a lens of intersectionality, illustrate how this item would promote the city's commitment to equity, including improving social determinates of health:

    What are the implications to intersectionality?

    • Does this item benefit all racial groups?
    • Does this item benefit Community for All Ages?
    • Does this item exclude or disproportionately impact any social identities? If yes, what populations and why?
    • What (if any) social determinants of health are impacted by this item?
    • What (if any) are the unintended economic and environmental impacts of this item?
    • How has the impacted community been involved?
    • How will the program be communicated to all stakeholders?
  5. Financial Impact
  6. Budgeted Item?
  7. Leave This Blank:

  8. This field is not part of the form submission.