Healthy Communities Impact Grant Monthly Report

**Please submit report on the 5th of the month**

Please describe successes and challenges you have experienced with your health programs.


There is a question about each Health Pillar. You do not have to write about every Pillar.


Just write "N/A" in the box if you do not have anything to share.



Thank you for your responses!


*USA and Puerto Rico: Pls complete a different survey, found under "Monthly Report Survey" on HC Resources.

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Reports are due on the 5th of each month. Please report on the work from the previous month.


Example: on 5 April, you will report on the work that happened in March.

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Successes and Challenges

What successes and/or challenges have you had related to Health Pillar 1?


Reminder - Pillar 1 includes:

-Young Athletes

-Family Health Forums

-Fitness programming and training coaches in Fitness

-Health and prevention education

What successes and/or challenges have you had related to Health Pillar 2?


Reminder - Pillar 2 includes:


-Healthy Athletes screenings

-Follow-up care coordination

-Partnerships with local healthcare providers to ensure they are accessible to people with IDD

What successes and/or challenges have you had related to Health Pillar 3?


Reminder - Pillar 3 includes:


-Training healthcare professionals and students (both at Healthy Athletes events and outside of Healthy Athletes events)


-Training community health workers


-Partnerships with health professional schools/associations

What successes and/or challenges have you had related to Health Pillar 4?


Reminder - Pillar 4 includes:



-Collaborations with ministries of health or local health departments


- Health Messenger training and activation

Example - Media or news coverage of event, social media posts.

Impact, Stories, and Requests

How have you engaged athlete leaders and Health Messengers in your project?


Have you received any advice from athletes about your health work?


Note: this section can be written by an athlete!

Please share any stories from the past month about how your Health programming has made a difference in the lives of athlete(s).


Include the following details, if they are available:


  • Athlete name, age, and location
  • Before they participated in Special Olympics Health, what health concern did they face?
  • What program, screening or training did the athlete participate in?
  • What has been the impact on the athlete’s overall health? (Please be as detailed as possible).
  • How has the athlete engaged other athletes as a result?

Please share photos or other media from your Health programs last month.


Please clearly name your files when uploading more than one. (For example, "Maria with Fitness Club")


If the upload does not work, please email photos to your Regional Health Manager.

Drag and drop files here or

How are you working with your current or past Golisano Health Leadership Awardees? If recent examples are available, please include so that we can share it with the Golisano Foundation.

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For more information about these awards, please visit: https://www.specialolympics.org/our-work/inclusive-health/golisano-global-health-leadership-award


You can also view Golisano Award resources on the Healthy Communities page: https://resources.specialolympics.org/health/healthy-communities

What type of assistance do you need from SOI? Please feel free to ask us about:

  • Fundraising
  • system technical difficulties
  • health grant requirements
  • expanding or implementing your programming partnerships
  • Communications & Media expectations
  • other non-financial resources.
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