2026 LPA Application

2026 Leading Practices Academy

Application
Thank you for your interest in the 2026 Leading Practices Academy centered on systems change and non-medical drivers of health. Please complete the following to the highest degree possible based on your prospective project.

Please contact Kelly Miller with any questions you may have at kmiller@nashia.org.
Name

First NameLast Name
State
Organization
Role
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Which one the following systems have you identified as a focus area?

Other
At what stage would you describe your organization's project plans:
Please share some initial thoughts on the infrastructure needs in your state related to the system you have selected. As a frame of reference, the LPA Infrastructure Development Model contains the following elements: Selecting a System; Developing & Delivering Training; Implementing Interventions; Evaluating Interventions; and Sustaining & Scaling Up.
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? 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:

2026 Leading Practices Academy