Mayors Wellness Campaign 2020 Healthy Town Application

Thank you for your time and dedication to your local Mayors Wellness Campaign (MWC), and for applying for the New Jersey Healthy Town designation. For more information regarding the MWC or your application, please contact Julie DeSimone at jdesimone@njhcqi.org or 609-452-5980.

We highly recommend using a word document to complete your answers and copying and pasting your final responses in the fields below.

Municipality*
County*
Population Size*
Area (Square Miles)*
Mayor's Name*
Email*
Phone Number*
Additional Contact Person's Name*
Email*
Municipal Address*
Latest Date MWC Participation Pledge was signed*
MWC Start Date*
Municipal Website*
1. Describe your community’s demographics. If you applied to be a Healthy Town in 2019 and there are no major changes, you may respond “See 2019 Application.”*
2. The MWC recommends completing a local needs assessment to get the facts about your town’s health to ensure that your programming addresses the greatest health needs and challenges in your community. We recognize that due to the pandemic, this process may not have taken place in 2020. Please describe any pandemic related taskforces, committees, or emergency response groups that your municipality participated in and how it helped to inform the decision-making in your municipality.*
3. Describe the members of your MWC Committee and how they collaborate to create town programming. Please include whether any residents serve on your MWC Committee and how often your committee meets. If you do not have a MWC committee, please respond “N/A”. (No more than 100 words)*
4. The pandemic has shed light on the importance of social determinants of health and their effects on New Jersey residents. There are 5 key areas of social determinants of health (https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health). Explain which of the 5 areas you feel your community needs the most improvement in and which area your community is the most successful in. Provide justification for each response. (No word limit)*
5. Describe how your MWC programs were promoted and indicate how you may have adjusted your marketing approach due to the pandemic. Please include all social media handles such as Facebook, Twitter, email, websites, etc. Please also indicate if you reference the Quality Institute MWC program on any of your promotional information or website. (No more than 150 words)*
6. List and describe up to 10 of the programs offered your MWC during 2020 that you feel have been the most successful. For each program, identify the health goal(s) addressed, if social determinants of health are addressed, the target populations, the sponsoring or partner organizations, the content of the program, the cost, if any, to participate, location (note if event was virtual), attendance, how attendance is monitored, and how programs were evaluated.*
7. Which programs were based off the MWC Toolkit or another resource provided to you by the Quality Institute? Please list. If none, indicate “N/A”.*
8. Describe how your MWC activities are funded. Provide details on whether programs are run by municipal staff or volunteers.*
9. Approximately how many people participated in MWC programs in 2020.*
10. How was the effectiveness of your MWC programs evaluated? Feel free to attach any surveys or other evaluation tools. (No more than 250 words)*
11. How did your MWC adjust programming to meet the needs of your community during the pandemic? (No more than 500 words)*
12. What are the future goals of your MWC? What other programs are anticipated and how will these programs improve your town’s social determinants of health? Please comment on how you will adjust programing as the pandemic continues. (No more than 250 words)*
13. Please note any successful programs or initiatives your MWC engaged in during the pandemic that you would recommend to other municipalities.*
14. What would you like to see from us (specific tools, more resources, policy briefs, speakers, connections, health topic information)? Do you have any suggestions?*
15. Optional: Feel free to attach no more than three additional documents that you feel would supplement your application (flyers, pictures, testimonials from residents etc.).
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