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2. Governing Body Workshop Item Number
3. Council Item Number
5. Governing Body Workshop I Date
6. Council Date
   Council Date
10. Action Item Summary
12. Submission Date*
    Submission Date
13. Submitted By*
15. Committee/Department*

    1. Administration
    2. Finance
    3. Public Works
    4. Safety
17. Action Item Type*

    1. Agreement
    2. Discussion
    3. Ordinance

    1. Presentation
    2. Resolution
    3. Other
19. Recommendation*
21. Details*

    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?
25. Financial Impact
27. Amount of Request
28. Budgeted Item?

    1. Yes
    2. No
30. Budgeted Amount
31. Paying Fund/Account
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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