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SNAP-Ed Support Network
APPLICATION FOR TEAM ACHIEVEMENT AWARD

I. NOMINATED TEAM
Teams working in NJ from the SNAP-EdSN Support Network or SNAP are eligible.
Name of Project
Project Spokesperson
Spokesperson E-mail
Spokesperson Address
Spokesperson Address (cont.)
Spokesperson Telephone

II. TEAM MEMBERS
Please list the team members involved with the project. If you need additional space, please include the names in the comments field below.
Name	Program Affiliation







III. NOMINATED TEAM CONTACT
Please enter the information for the contact person on the nominated team.
Contact
Position Title
Office Address
Office Address (cont)
Office Telephone

IV. RECOMMENDER
The recommender is the person who feels that this team deserves to be considered for the Team Acheivment Award.
Name
Position Title
Office Address
Office Address (cont)
Office Telephone

V. PROGRAM DESCRIPTION
Please provide the following information for the program: Who was involved? i.e., students; parents; volunteers; school food service personnel; supermarket; community members; media or agencies. What materials and activities were included? i.e. Train-the-Trainer program; health fair; supermarket; classroom or community education session. Describe the program (limit to 1,000 words): Where did it take place? i.e., classrooms; cafeteria; supermarket; homes; community center; farmer’s market; church; doctor’s office What was the duration? i.e., hours; days; weeks; months; a year What was the outcome/impact? i.e., increased consumption of fruits and vegetables; increased consumption of calcium-rich foods; improved diet recalls Did this project address NJ SNAP initiatives? i.e., increased calcium and fruit and vegetable consumption and/or reducing nutrition-related diseases, such as obesity, diabetes, heart disease and cancer.