Local Public Health Week Nominations 2018

Public Health Week 2018: Changing Our Future Together

Local Public Health Hero Award Nomination

Purpose

In celebration of National Public Health Week, the Minneapolis Health Department (MHD) would like to recognize the accomplishments of community partners who help raise awareness of the critical roles that public health and prevention play in making Minneapolis a healthier place to live, learn, work, and play.

Process

Please submit your nomination(s) for Local Public Health Hero awards by filling out this nomination form.

Submissions are due Monday, March 19 at 5PM.

Winners will be notified no later than Tuesday, March 27.

Outcomes

Local Hero Award winners will receive their awards at the Local Public Health Heroes Award Ceremony to be held on Tuesday, April 10, 2018 at 11:30 a.m. in the City Hall Rotunda.

One or more awards may be awarded in each category of the Minneapolis Health Department goals.

Local Public Health Heroes will be chosen based on their work and dedication to one of the Health Department’s Goals.

Eligibility and Guidelines

Nominations can be for individuals, teams, or organizations in recognition for work on policy change,programs, services, or other efforts.

Nominations will be evaluated by the following criteria: 1) length of time since last Public Health Hero Award, if applicable; 2) strength of relationship with the Health Department; 3) exemplification of goal area; 4) work towards health equity; 5) public health impact; and 6) innovative practice(s).

Question Title

* 1. Your ( nominator's) information

Name

Email Address

Phone Number

Question Title

* 2. Nominee's information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 3. Nominee is:

Individual Nomination

Team Nomination

Organization Nomination

Question Title

* 4. Which Minneapolis Health Department goal does your Hero primarily work towards? Select ONE primary area:

A Healthy Start to Life and Learning:
- Thriving babies
- School-ready children

Thriving Youth and Young Adults:
- Prevent teen pregnancy
- Reduce sexually transmitted infections/HIV rates through targeted services to youth and young adults most at risk
- Reduce violence among youth
- Invest in activities that promote: mental and physical health; social, emotional and life skill learning; and, positive development for all youth

Healthy Weight and Smoke-Free Living:
- Affordable and accessible opportunities for healthy eating, physical activity and smoke-free living for all ages and abilities
- Communities expect healthier environments

A Healthy Place to Live:
- Healthy indoor environment for everyone

Safe places to eat, swim, and stay:
- Minimize the risk of disease and injury from food, lodging and swimming establishments

A Healthy Environment:
- Clean, healthy natural environment (air, soil, water) free of environmental hazards and pollution
- Environmental nuisances (noise, odor) are minimized

A Strong Urban Public Health Infrastructure:
- City and community prepared for emergencies – now and into the future
- Health care safety net for everyone who needs it
- Diverse, engaged, and skilled staff
- State-of-the art implementation of programs and procedures to improve population and environmental health
- Research and policy-related activities that improve population and environmental health

Question Title

* 5. Has the nominee ever received a Local Public Health Hero Award?

Yes

Don't Know

Question Title

* 6. About the individual or organization:
a) Describe the individual, team, or organization and their public health-related projects or activities. b) What is their relationship to the Minneapolis Health Department, and the intensity and/or history of that relationship? (Note: The award evaluation committee may not be familiar with the work of the nominee. Please be as specific and detailed as possible.) 250 word limit

Question Title

* 7. Reason for nomination:
a) In what ways has the individual or organization exemplified the selected Health Department goal area?
b) How has their work addressed health equity or health disparities? c) How has their work strengthened public health in the City? d) How has their work been innovative? 250 word limit