Heart&Stroke Walkabout™ Walkability Award
2012 Nomination Form
Please adhere to the stated word limits. Applications must be submitted by 4:00pm on January 15, 2013. Submit the application to .
1. Organization or Group Overview you are nominating for the Walkability Award:
Organization, Business School or Group Name:
Website (if available):
Address:
Street:
Town, Province:
Postal Code:
Contact Person
Name: Title:
E‐mail: Phone:
What is your association to or interest in this project?
How did you hear about the Heart&Stroke Walkabout™ Award:
□ Walkaboutns.ca
□ Poster
□ Word of Mouth
□ Other ______
2. Scope of Project (40 points)
(a)Please provide a description of the project, including the target group, goals met, timelines and a summary of how it has increased walkability (maximum 250 words):
(b) Please describe how the project has overcome barriers to walking in the community or surrounding area (maximum 150 words):
3. Education and Policy Alignment (40 points)
(a) How has the nominated community or project promoted walking? Please provide any examples of any related education campaigns or promotional efforts used as part of the project (maximum 150words).
(b) Is the nominated project or community engaged in any provincial or municipal campaigns that promote walking such as Heart&Stroke Walkabout™, Active and Safe Routes to School, or strategies such as active transportation plans, workplace wellness, physical activity plans (maximum 250 words)?
c) Did the nominated project or community succeed in changing standard practice, leadership position, policy, guidelines, by-laws, etc. (maximum 150 words)?
4. Evaluation (20 points)
(a) How did you measure the success of your project? What are the key results?
(maximum 150 words)
Please provide any stories, surveys, pedestrian counts, photos or events that might have taken place related to walkability in the community if relevant to the project. Let us know if the project has received any other awards (maximum 200 words).