Orange County NC Website
6. Statement of Assurances <br />If awarded funds by the Physical Activity and Nutrition Branch to implement <br />community-based interventions to promote healthy eating and physical activity in <br />children, their families, and their communities, the local health department agrees <br />to: <br />^ Use funds for community-based, multi-level interventions that focus on implementation of <br />the recommendations, goals and objectives put forth by Eat Smart, Move More.,,North <br />Carolina and the NC Healthy Weight Initiative. <br />^ Partner with appropriate community organization(s) to plan and implement the project. <br />^ Implement the proposed activities according to the time frame outlined in the application. <br />^ Submit information on activities conducted with grant Rinds through the PAN Progress <br />Check System. <br />^ If appropriate for the local intervention, grantees are encouraged to use the Physical <br />Activity and Nutrition (PAN) Behaviors Monitoring Form for collecting and reporting data <br />on heights weights, and physical activity and eating behaviors.. As of July 1,2004, this <br />form will be available as a screen in HSIS to record this data on health department clients <br />over two years of age, Counties that do not use HSIS can add the new form to their <br />system or they can log into HSIS to access the form. Afree-standing system should be <br />available in the fall of 2004 to allow non-health department settings to use the form. <br />^ Provide a written Summary of activities and outcomes by August 2, 2005 using the very <br />brief format provided by the Community Change Success Stories.doc. This form will be <br />sent to funded applications. <br />^ Share experiences, challenges and successes with other communities through <br />presentations, newsletters, community change chronicles and other media as needed. <br />Name of Health Department: Orange County Health Department <br />Health Director's Signature/ Date Project Coordinator's Signature/ Date <br />