2021 HS Evaluation Cohort Application

Dear Healthy Start Grantees,

Healthy Start (HS) Cohorts provide space and place for HS grantees to come together to learn about what others are doing, document promising practices, and co-create tools and resources for the broader community. Cohorts provide small groups of HS staff (20-25) with opportunities to connect with other HS staff across the country, lift up and spread successful practices, and brainstorm solutions for common challenges.

The Healthy Start TA & Support Center is pleased to launch the first Healthy Start Evaluation Cohort! The goal of the Evaluation Cohort is to convene Healthy Start grantees – who are prepared to and interested in enhancing and strengthening their evaluation work – to create shared best practices for designing and executing data collection and evaluation processes. Healthy Start staff collecting and/or evaluating data are encouraged to apply. The Evaluation Cohort will meet on the third Wednesday of each month from 2-3:30p.m. EST from March through June 2021 (March 17, April 21, May 19, and June 16).

This application will take 20-30 minutes to complete. Please note:

Please do not fill out this application on someone else's behalf (including for staff who you plan to onboard soon).
Please only complete this application if you are prepared to commit to participating in the Healthy Start Evaluation Cohort from March through June 2021.
You must receive approval from your Healthy Start Project Director and your direct supervisor (if different from your PD) before submitting this application.

If you are interested in participating in the Healthy Start Evaluation Cohort, please complete this application by COB Friday, 2/26. If you have any questions, please email healthystart@nichq.org. Thank you for your interest in joining the Healthy Start Evaluation Cohort!

Be well,
The TA & Support Center

1. First Name: *This question is required.

2. Last Name: *This question is required.

3. Email address: *This question is required.

4. Healthy Start Program Name: *This question is required.

5. Role/title within Healthy Start: *This question is required.

6. How long have you worked at this Healthy Start program? *This question is required.

7. Healthy Start Project Director: *This question is required.

13. What activities is your HS project's Evaluation team currently working on or has worked on in the past? *This question is required.

14. What experience/expertise would you bring to the Evaluation Cohort? *This question is required.

15. What do you hope to gain from participating in the Evaluation Cohort? *This question is required.

16. Is there anything else you would like us to know about you or your Healthy Start program?

If yes, which cohort(s) did you/are you currently participating in?

	1	2	3
Explore promising policies and practices to ensure the integrity of HS site data collection and reporting	Rank Explore promising policies and practices to ensure the integrity of HS site data collection and reporting as 1 out of 3	Rank Explore promising policies and practices to ensure the integrity of HS site data collection and reporting as 2 out of 3	Rank Explore promising policies and practices to ensure the integrity of HS site data collection and reporting as 3 out of 3
Articulate best practices for HS data analysis and evaluation	Rank Articulate best practices for HS data analysis and evaluation as 1 out of 3	Rank Articulate best practices for HS data analysis and evaluation as 2 out of 3	Rank Articulate best practices for HS data analysis and evaluation as 3 out of 3
Identify ways that HS evaluators and staff can work together to move data to action	Rank Identify ways that HS evaluators and staff can work together to move data to action as 1 out of 3	Rank Identify ways that HS evaluators and staff can work together to move data to action as 2 out of 3	Rank Identify ways that HS evaluators and staff can work together to move data to action as 3 out of 3

Space Cell	Yes
I am applying on behalf of myself. I understand that my spot cannot be transferred to another staff member.	I am applying on behalf of myself. I understand that my spot cannot be transferred to another staff member.: Yes
If selected, I acknowledge the expectation to attend a minimum of 75% of scheduled cohort meetings.	If selected, I acknowledge the expectation to attend a minimum of 75% of scheduled cohort meetings.: Yes
This application has been approved by my project director and direct supervisor.	This application has been approved by my project director and direct supervisor. : Yes