14th Annual Community Teams Program
Northwestern Wisconsin

Building Leadership Capacity for Health Improvement

2019-2020 Application Information and Instructions
Application deadline is Friday, July 12, 2019

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 30 from 12:00PM - 1:00PM - https://zoom.us/j/444731680
Thursday, June 13 from 2:00PM - 3:00PM - https://zoom.us/j/114155117
Tuesday, June 25 from 10:00AM - 11:00AM - https://zoom.us/j/878652080


Northwestern Region

  • Eligible communities can be defined in terms of geographic boundaries (Northwestern Wisconsin for 2019-2020) or shared interests and must be within Wisconsin.

    • For purposes of this application, the Northwestern region includes the following counties: Ashland, Barron, Bayfield, Burnett, Chippewa, Clark, Douglas, Dunn, Eau Claire, Iron, Pepin, Pierce, Polk, Price, Rusk, Taylor, Saint Croix, Sawyer, Washburn.

    • Statewide teams and/or multi-county teams are encouraged to apply; please be aware that all workshops will be held in the Northwestern 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 multiple 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 (~10 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 12, 2019

  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 / Spanish) so the team can work collaboratively prior to online submission. 

(English & Spanish)

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)

(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 2019-2020.

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, 2019.

2019 - 2020 Tentative Schedule

  • Community Team Applications Available: May 8, 2019

  • Community Team Applications and Team Member Forms Due: July 12, 2019

  • Application Review and Team Selection: July 12 - July 30, 2019

  • Notification of Selected Teams: July 31, 2019

  • Half-day In-Person Orientation: August 2019

  • Site Visits: Fall, winter and spring (scheduled according to team’s availability)

  • Workshop #1: Location TBD: October/November 2019*

  • Workshop #2: Location TBD: March 2020*

  • Workshop #3: Location TBD: June 2020*

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

Continuing Education Credits

The program offers university continuing education credits.

Questions?  Please contact:

Salma Abadin
Community Teams Program Lead
(414) 520-1951

Selma Aly
Community Coach
(414) 949-1060