Walkable Community Workshop Application
 
MDH will offer a limited number of Walkable Community Workshops in Minnesota in fall 2018. Communities that participate in Walkable Community Workshops will create a draft action plan, which is expected to be completed and implemented.
 
We look forward to hearing from you. Applications are due by 5 p.m. on Wednesday, June 6, 2018.
 
By submitting this form you are expressing interest that as a host you will help coordinate with the Minnesota Department of Health and assist in locating a suitable facility for the workshop; provide lunches or snacks and coordinate implementation of action plan. Hosts are responsible for identifying and inviting the right stakeholders to the workshop and will act as a follow-up contact.
 
Please provide contact information for your applicant/contact person and your co-sponsor(s).* One sponsor must represent public health and the second sponsor must be a transportation decision maker (public works, planning, engineer, etc.).
*If the applicant represents either public health or transportation, only one co-sponsor is needed.
 
NOTE: Completion of this form does not guarantee that your community will be selected to host a workshop. MDH and partners reserve the right to select communities based on identified needs, engagement and geographic distribution.

Community information

Community name

Applicant information - Please provide the following information:

Applicant name

Affiliation

Phone

Email

Co-sponsor (public health) information - Please provide the following information:
If public health co-sponsor is the same as applicant - please indicate name as "same as applicant"

Co-sponsor (public health) name

Affiliation

Phone

Email

Co-sponsor (transportation) information - Please provide the following information:
If transportation co-sponsor is the same as applicant - please indicate name as "same as applicant"

Co-sponsor (transportation) name

Affiliation

Phone

Email

Describe how your community would benefit from a Walkable Community Workshop.

Describe any experience your community has with planning, policies, ordinances and implementing active transportation projects such as complete streets, non-motorized infrastructure, and Safe Routes to School:

Describe how your community plans to act on possible recommendations from the workshop with the goal of increasing walking.

Tell us about your diverse partners and stakeholders you expect to attend the workshop. Potential candidates include law enforcement, engineers, planners, public health professionals, teachers and school administrators, elected officials, tourism professionals, local advocates, business owners and chambers of commerce representatives. One participant must be an engineer. All attendees are expected to participate in the mobile workshop.

Describe any challenges are you encountering around implementing strategies to support walking and/or active transportation in your community.  

Questions? Please contact Emily Smoak at Emily.smoak@state.mn.us