2011 “I’M YOUR COMMUNITY GUIDE” CONTEST ENTRY FORM
You may submit this form as your entry. If you choose this form as your preferred submission format, please send the completed form via email to [email protected] before June 10, 2011.
Contact Name __________________________________________________________________
Contact Title ___________________________________________________________________
Contact Email ________________________ Contact Phone ________________________
Name of Organization ___________________________________________________________
Story Title ________________________________________________________
Please answer the following questions:
How did you implement the evidence-based findings and recommendations outlined in the Community Guide in your organization? You may include how you learned about the Community Guide, what challenge you solved, the steps involved, and what you found most useful.
What were the outcomes of implementing the Community Guide in your organization, including any successes, challenges, or unexpected occurrences? Also indicate the benefit provided by the Community Guide to your organization and community.
How will your experience serve as a model for assisting other organizations using the Community Guide?
Did you make any changes in practice as a result of using the Community Guide? Please explain.
Did you use any partnerships or collaborations while implementing the Community Guide’s strategies? Please explain.
This activity is being supported under a cooperative agreement from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention to the Public Health Foundation (PHF). The 2011 “I’m Your Community Guide” Contest is solely the responsibility of PHF and does not necessarily represent the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
COMMUNITY ORGANISATION AND SCHOOL PARTNERSHIPS SCHOOL FACT SHEET
COMMUNITY SUPPORT TEAM REFERRAL FORM FOR
DELIVERING COMMUNITY SERVICES IN PARTNERSHIP GRANT AGREEMENT
Tags: community guide”, your community, contest, entry, guide”, promoting, community