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.

Once you have submitted your application, you will receive a confirmation email.

  • Respond "N/A" if you do not utilize these platforms
    FacebookTwitterInstagramMunicipal Website
  • If you do not complete a needs assessment, please respond “N/A”.
  • If you do not have a MWC committee, please respond “N/A”. (No more than 100 words.)
  • If a category does not apply to your event, respond “N/A”. Download the MWC Activities form here: https://njhcqi.info/MWCHTAppExcel2022
    Max. file size: 50 MB.
  • If none, respond “N/A”.
  • Provide details on whether programs are run by municipal staff or volunteers.
  • The term “underserved communities” refers to populations sharing a particular characteristic, as well as geographic communities, that have been systematically denied a full opportunity to participate in aspects of economic, social, and civic life, as exemplified by the list in the preceding definition of “equity.”
  • (No more than 500 words.)
  • (No more than 500 words.)
  • Drop files here or
    Max. file size: 50 MB.
    • (No more than 250 words)
    • Examples include flyers, pictures, testimonials from residents etc.
      Drop files here or
      Max. file size: 50 MB, Max. files: 5.