2025 LPA: SDOH Application

2025 Leading Practices Academy on Social Determinants of Health

Application
Thank you for your interest in the 2025 Leading Practices Academy centered on the following four Social Determinant of Health related focus areas: the criminal/legal system; housing insecurity; interpersonal violence; the child welfare system. Please complete the following with known information (to the highest degree possible) based on your prospective project.

For questions, email kmiller@nashia.org.
Name*

First NameLast Name
State*
Organization*
Role *
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Which one the four Social Determinant of Health related focus areas are you most interested in addressing during the LPA?

Criminal/Legal SystemHousing InsecurityInterpersonal ViolenceChild Welfare System
At what stage would you describe your organization's project plans:

ExplorationDevelopmentImplementationSustainability
Please share some initial thoughts on the infrastructure needs in your state related to the SDOH focus area you selected above (e.g. capacity building, training/education, resource development, information sharing, system development, systems change):
Please list any partners related to the focus area you selected above and indicate your partnership status.*
What are you hoping to achieve through participation in the LPA SDOH? Note: We recognize this could change.
Do you know the source or sources of your funding? If not, what are your prospects for funding?
Should be Empty:

2025 Leading Practices Academy on Social Determinants of Health