District of the Year Form

District of the Year Award Criteria:

Certified or in the process of becoming certified
A member of ACHD
Nominated by a Trustee or Executive of a district
District Leadership has attended at least one ACHD education event in the last year
Attend ACHD's Annual Meeting to be honored as a nominee

Please use the below form to submit your nomination for the District of the Year award. If you have any questions about this form or the process, please contact Cathy Martin

Name of Nominating Individual *

Nominating Individual's Email Address *

District Name *

Name of District Nominee *

Please answer the following:

What specific initiative has the district implemented to improve the health of the community?
How did the district determine the need for the initiative?
How was the initiative funded?
How is this initiative innovative?
How did the district involve community stakeholders to achieve the goal(s) of the initiative(s)?
How could this initiative be duplicated by other districts?
Quantify any milestones or achievements resulting from the initiative.

Are there any other significant facts that the scoring committee should be aware of?

Please upload any supporting documents