Safe Routes to School Programs

The Vern Seefeldt Lifetime Achievement Award

The award is named for its first recipient, Dr. Vern Seefeldt. Dr. Seefeldt was the first Chair of the Michigan Governor’s Council on Physical Fitness, Health and Sports, appointed in 1992 by Governor John Engler. He began his career as a high school science teacher but eventually became the director of the Youth Sports Institute at Michigan State University, earning national recognition for leadership in many physical education-related programs. The award recognizes individuals who, over a lifetime, have made landmark contributions to the health of Michigan residents through research, teaching, professional practice, policy or volunteer involvement related to physical activity or physical fitness.

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: *Phone Number: *Address: *City: *State: *Zip:

*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 the nature and quality of the nominees’ contributions, including # of years of service. (10 points)

How many individuals have been affected by the individual and what is the magnitude of the individual’s effect? (5 points)

Describe how this individual has served as a role model for healthy living. (5 points)

Describe how this individual educates or advocates for health and wellness in his/her community. (5 points)