Public Health Week Nominations Question Title * 1. Your Name and Contact Information (optional) Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 2. What type of nomination? Individual Nomination Team Nomination Organization Nomination Question Title * 3. Nominee(s) Information Name * Company Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country * Email Address * Phone Number * Question Title * 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. Question Title * 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? Question Title * 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 Done