CALAPH Submission: Policy & Health Equity Activity Selections

Welcome to the CALAPH Policy & Health Equity Activity Selection submission page. Please fill out the fields below to submit your team's selections.

Instructions:

Review both the policy and health equity resources, materials, and tools on the Policy & Health Equity Module page on the program portal.
Teams must select at least one "Policy (P)" activity and one "Health Equity (HE)" activity. Activities listed as "Policy & Health Equity (PHE)" can count as either a policy OR health equity selection. Your team must choose a minimum of one selection per topic area.

Please submit by Friday, April 11, 2025. Thank you.

Team Member Name:

First NameLast Name

Email:

example@example.com - Needed to send confirmation.

Team Name:

1. Policy Activity Selection (required):

Please choose an option from the drop down menu above.

1a. Select at least one rationale for why your team has chosen this particular activity:

Other

1b. Team member(s) responsible:

Teams may choose to assign one, several, or all team members to an activity.

1c. Completion Date:

Date by which your team plans to have completed the activity.

2. Health Equity Activity Selection (required):

Please choose an option from the drop down menu above.

2a. Select at least one rationale for why your team has chosen this particular activity:

Other

2b. Team member(s) responsible:

Teams may choose to assign one, several, or all team members to an activity.

2c. Completion Date:

Date by which your team plans to have completed the activity.

3. Additional Activity Selection:

Please choose an option from the drop down menu above.

3a. Select at least one rationale for why your team has chosen this particular activity:

Other

3b. Team member(s) responsible:

Teams may choose to assign one, several, or all team members to an activity.

3c. Completion Date:

Date by which your team plans to have completed the activity.

4. Additional Activity Selection:

Please choose an option from the drop down menu above.

4a. Select at least one rationale for why your team has chosen this particular activity:

Other

4b. Team member(s) responsible:

Teams may choose to assign one, several, or all team members to an activity.

4c. Completion Date:

Date by which your team plans to have completed the activity.

5. Additional Activity Selection:

Please choose an option from the drop down menu above.

5a. Select at least one rationale for why your team has chosen this particular activity:

Other

5b. Team member(s) responsible:

Teams may choose to assign one, several, or all team members to an activity.

5c. Completion Date:

Date by which your team plans to have completed the activity.

6. Additional Activity Selection:

Please choose an option from the drop down menu above.

6a. Select at least one rationale for why your team has chosen this particular activity:

Other

6b. Team member(s) responsible:

Teams may choose to assign one, several, or all team members to an activity.

6c. Completion Date:

Date by which your team plans to have completed the activity.