Public Health Week Nominations

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* 1. Your Name and Contact Information (optional)

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. What type of nomination?

Individual Nomination

Team Nomination

Organization Nomination

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* 3. Nominee(s) Information

Name *

Company

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 4. Which Minneapolis Health Department goal(s) does your Hero work toward? Please choose only one goal.

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

Please give a brief description of how your hero is filling this goal.

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* 5. Please introduce us to the work that your Hero does. Please be specific about this work and tell us who your Hero serves. Why do you believe this Hero deserves a Local Public Health Hero Award?

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* 6. How does your Hero's work Make Minneapolis a better place?
Please share with us (in the space below) how your Hero makes Minneapolis a better place to live, work, and play by:
- Working to promote the health of Minneapolis residents
- Working to prevent health problems
- Helping to create opportunities for Minneapolis residents to engage in healthy activities