Submit Work Project Name*Funded Organization*Project Start Date* Date Format: MM slash DD slash YYYY Project End Date* Date Format: MM slash DD slash YYYY Primary Contact* First Last Suffix Primary Contact Email* Secondary Contact* First Last Suffix Secondary Contact Email* Website Project Overview*At minimum, share project objectives and methods. Target Population(s)*Project Related FilesShare project resources and/or an overview of your results. Drop files here or Accepted file types: jpg, gif, png, pdf. Target Counties*Select all that applyAndersonAndrewsAngelinaAransasArcherArmstrongAtascosaAustinBaileyBanderaBastropBaylorBeeBellBexarBlancoBordenBosqueBowieBrazoriaBrazosBrewsterBriscoeBrooksBrownBurlesonBurnetCaldwellCalhounCallahanCameronCampCarsonCassCastroChambersCherokeeChildressClayCochranCokeColemanCollinCollingsworthColoradoComalComancheConchoCookeCoryellCottleCraneCrockettCrosbyCulbersonDallamDallasDawsonDeaf SmithDeltaDentonDeWittDickensDimmitDonleyDuvalEastlandEctorEdwardsEllisEl PasoErathFallsFanninFayetteFisherFloydFoardFort BendFranklinFreestoneFrioGainesGalvestonGarzaGillespieGlasscockGoliadGonzalesGrayGraysonGreggGrimesGuadalupeHaleHallHamiltonHansfordHardemanHardinHarrisHarrisonHartleyHaskellHaysHemphillHendersonHidalgoHillHockleyHoodHopkinsHoustonHowardHudspethHuntHutchinsonIrionJackJacksonJasperJeff DavisJeffersonJim HoggJim WellsJohnsonJonesKarnesKaufmanKendallKenedyKentKerrKimbleKingKinneyKlebergKnoxLamarLambLampasasLa SalleLavacaLeeLeonLibertyLimestoneLipscombLive OakLlanoLovingLubbockLynnMcCullochMcLennanMcMullenMadisonMarionMartinMasonMatagordaMaverickMedinaMenardMidlandMilamMillsMitchellMontagueMontgomeryMooreMorrisMotleyNacogdochesNavarroNewtonNolanNuecesOchiltreeOldhamOrangePalo PintoPanolaParkerParmerPecosPolkPotterPresidioRainsRandallReaganRealRed RiverReevesRefugioRobertsRobertsonRockwallRunnelsRuskSabineSan AugustineSan JacintoSan PatricioSan SabaSchleicherScurryShackelfordShelbyShermanSmithSomervellStarrStephensSterlingStonewallSuttonSwisherTarrantTaylorTerrellTerryThrockmortonTitusTom GreenTravisTrinityTylerUpshurUptonUvaldeVal VerdeVan ZandtVictoriaWalkerWallerWardWashingtonWebbWhartonWheelerWichitaWilbargerWillacyWilliamsonWilsonWinklerWiseWoodYoakumYoungZapataZavalaCancer(s) of Focus*Select all that apply Cervical Vulvar Vaginal Penile Anal Mouth and Throat Other Key Focus Areas (related to project objectives)*Select all that apply Provider Training & Education (MOC/CMEs) EBI Implementation within Systems and/or Clinics Quality Improvement Assistance Engaging Stakeholders & Partners Marketing & Communication Parental Knowledge Creation of Educational Tools School Clinics/ISDs Research & Surveillance: Data/Trends/Demographic Project ECHO Environmental Scan Policy (state, county, school, system, clinic, etc.) Cervical Cancer Screening and Testing Health Disparities Other What evidence based strategies and/or best-practices is this project implementing?*Select all that apply Immunization Information Systems (IISs) Multi-level Interventions (system interventions + provider training) Client Reminder/Recall systems Assessment & Feedback Provider Prompts Standing Orders Effective Communication Training Performance Evaluation: Individual Provider Vaccination Rates Continuing Education for Medical Staff (MOC/CMEs) Walk-in or Immunization-only Appointments Assess Missed Opportunities Conduct PDSA Cycles Quality Improvement Team Collaboration (medical and non-medical staff) Public Education & Awareness Coalition and/or Roundtable Management None of the above Collaborating Organizations Funding SourceAward Date Date Format: MM slash DD slash YYYY Grant IDFunding AmountEmailThis field is for validation purposes and should be left unchanged.
