Safe Routes to School Programs

The Charles T. Kuntzleman Accepting the Challenge Award

Worthy recipients of the award will have overcome great challenges to pursue physical activity as a part of their daily routines. The Charles T. Kuntzleman Accepting the Challenge Awards are named after the former Chair of the Governor’s Council and Michigan Fitness Foundation. His vision and leadership helped to shape the organization, impacting the lives of more than one million Michiganders. Dr. Kuntzleman is the author of several books including They Accepted the Challenge, describing people who, despite great obstacles, have pursued a life of physical activity. He is an internationally renowned fitness and health expert, and was inducted into the National Fitness Hall of Fame in March 2008.

Note: For the written portion of this nomination form (located at the bottom), it's recommended that you type your response in a separate word document first and copy/paste your response into the text box area. This will prevent the loss of data should you need more time to fill out this form.

Your Information *First Name: M.I.: *Last Name: *Address: *City: *State: *Zip:

*Phone Number: *Email: *Relationship to Nominee:
I'm nominating myself

Nominee's Information *First Name: M.I.: *Last Name: *Address: *City: *State: *Zip: *County: *Phone: *Email: *Age: Race: (Optional) Optional:

*Selection Criteria:

Each response limited to 500 words

Describe any obstacles the nominee has overcome in order to make physical activity a part of his/her regular routine. Please include background information that highlights the inspirational nature of this individual’s commitment. (4 points)

What was the catalyst for this individual to become physically active? (4 points)

What has overcoming those challenges meant to him/her (include a description of the internal and external rewards for the individual). (4 points)

How has overcoming those challenges influenced or inspired others? (4 points)

How long has the nominee been physically active? Describe the nominee’s physical activity routine (days of the week, minutes per session, type of physical activity, etc.). (4 points)

Please list any other recognition or acknowledgement this person has received (newspaper stories, television interviews, awards, etc.). In addition to what you’ve already told us, please share any personal observations or factors that make this person an excellent choice for this honor. (5 points)