13th Annual Community Teams Program
Southeastern Wisconsin

Building Leadership Capacity for Health Improvement

2018-2019 Application Information and Instructions
Application deadline is Friday, July 13, 2018

Team Application Form - Team Member Form


Attend an Optional Informational Session!

Learn more about the Community Teams Program from
Healthy Wisconsin Leadership Institute (HWLI) staff and a past participant!

Join one of three Zoom Video Conferencing sessions by clicking the links below. 
(open in browser or download free app, no RSVP required)

Thursday, May 31 from 12:00PM - 1:00PM - https://zoom.us/j/187233517
Tuesday, June 12 from 2:00PM - 3:00PM - https://zoom.us/j/912745497
Friday, June 22 from 10:00AM - 11:00AM - https://zoom.us/j/449518124


Southeastern Region

  • Eligible communities can be defined in terms of geographic boundaries (Southeastern Wisconsin for 2018-2019) or shared interests and must be within Wisconsin.
    • For purposes of this application, the Southeastern region includes the following counties: Calumet, Columbia, Dane, Dodge, Fond du Lac, Green, Green Lake, Jefferson, Kenosha, Manitowoc, Marquette, Milwaukee, Ozaukee, Racine, Rock, Sheboygan, Walworth, Washington, Waukesha, Waushara, and Winnebago. 
    • Statewide teams and/or multi-county teams are encouraged to apply; please be aware that all workshops will be held in the Southeastern region. 
  • Eligible communities will have initiated a team or coalition to address a community health issue that relates to one of the health priorities described in the state health plan.

Community Team Membership

  • Teams should be made up of five to eight members who are actively engaged in providing leadership for the team.
  • Membership should represent at least five different community sectors (preference is that members represent different organizations).  Partners can include: community and business leaders; employers; community health and primary care providers; health departments; hospitals, clinics, and health systems; media; law enforcement; policy makers; schools and educational organizations; students and youth leaders; faith-based organizations; volunteer or nonprofit community organizations; and individual residents.
  • It is important to include those who can contribute unique perspectives and resources to your priority health issue due to their professional affiliations, cultural backgrounds, work experience, personal experience, or other characteristics. 

Team Member Responsibilities

Each team member agrees to all of the following responsibilities:

  • Commit time to complete program (~15 hours per month over the 10-month program)
  • Participate actively in orientation, three site visits, three workshops, and webinars
  • Contribute to developing, implementing, and evaluating the team’s action plan
  • Identify individual learning needs by completing a self-assessment
  • Identify team learning needs and expected benefits
  • Obtain permission from employer or parent/legal guardian to participate, if necessary

One team member will be the primary contact for your team. These additional responsibilities include:

  • Act as communication point person and liaison with HWLI
  • Schedule and coordinate three site visits in your community
  • Ensure team members are participating in Community Teams Program activities
  • Serve as contact person for 20-month follow-up evaluation 

How to Apply

Apply Online by Friday, July 13, 2018

  1. Review program overview and all application instructions (attend an Informational Session, if possible).
  2. Ensure your team meets the eligibility criteria.
  3. Select a primary contact person.
  4. Complete the Community Team Application Form.
  5. Ensure that each team member completes the Team Member Form.

Community Team Application Form

Complete one application per team. It is recommended to download the form as a Word Document (English / Spanishso the team can work collaboratively prior to online submission. 


Team Member Form (to be completed by each team member)

All team members should complete the Team Member Form. Each team member should describe what they can contribute to the team and coalition/partnership and what they would like to gain by participating in the Community Teams Program.

This form is also available as a downloadable Word Document - (English / Spanish)


    How Are Teams Selected?

    A workgroup of staff from the Mobilizing Action Toward Community Health (MATCH) group and the Healthy Wisconsin Leadership Institute will conduct a review of all applications and select teams for 2018-2019.

    Reviewers will score applications using a rubric based on the following criteria:

    • The extent to which the objectives and learning needs of the team match the Community Teams Program curriculum
    • Demonstration of commitment to engage community
    • Diversity represented in team composition 

    All applicants will receive reviewer feedback by July 31, 2018.

    2018 - 2019 Tentative Schedule

    • Community Team Applications Available: May 10, 2018
    • Community Team Applications and Team Member Forms Due: July 13, 2018
    • Application Review and Team Selection: July 13 - July 30, 2018
    • Notification of Selected Teams: July 31, 2018
    • Orientation Webinar: TBD
    • Site Visits: Fall, winter and spring (scheduled according to team’s availability)
    • Workshop #1 Location TBD: October 24 & 25, 2018*
    • Workshop #2 Location TBD: March 7 & 8, 2019*
    • Workshop #3 Location TBD: June 11 & 12, 2019*

    * Exact locations for the workshops are TBD, but will all be held in the Southeastern region.

    Additional Information

    Program Costs

    HWLI covers the cost of instructional materials and programming, participant lodging for workshops, one meal at site visits, facility expenses for workshops, and fees for guest faculty and experts who provide technical assistance. 

    HWLI is piloting an opportunity for teams to apply for mini grants to support full team participation and success in the program. Potential use of the funds includes, but is not limited to: additional training, childcare, participant honorarium, and transportation. This opportunity will be discussed with teams once they have been selected for the program. 

    Continuing Education Credits

    The program offers University continuing education credits.

    Questions?  Please contact Program Lead:

    Salma Abadin
    (414) 520-1951