Safe Routes to School Programs

Governor’s Council Extraordinary Event/Organization Award

This award honors an event or organization that provides physical fitness opportunities to the public at large. The winning organization or event offers citizens the opportunity to develop their physical fitness skills and education of wellness and health in an environment that fosters positive health behaviors.

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: *Last Name: *Address: *City: *State: *Zip:

*Phone Number: *Email: *Relationship to Organization:

Organization or Event Information *Organization or Event Name: *Address: *City: *State: *Zip: *County: *Contact Person: *Contact Person Phone: *Contact Person Email:

*Selection Criteria:

Each response limited to 500 words

Please provide a brief history of the event/organization. Highlight the service the event/organization aims to provide within the community. (5 points)

Describe the steps the organization/event takes to providing a safe and welcoming environment for organization members/participants. (5 points)
How does the organization/event encourage physical activity to a range of citizens of all ages and capabilities? (5 points)
How does the organization/event educate community members about health and wellness? (5 points)
Has the organization/event impacted the design of the community’s infrastructure or recreational spaces? How? (5 points)