Application for Recognition as a
Breastfeeding Friendly Health Department:
Step 6
To apply for completion of Step 6:
Complete this form electronically using Adobe Acrobat or Adobe Reader 9.1 or later. Adobe Reader is a free
application that can be downloaded from the internet. Save the form to your computer and submit it by email as an
attachment to [email protected], along with any required supplemental documents (see below), a cover sheet,
and applications for the other steps your health department has completed. See the web page or the cover sheet for
more details about the application process.
Note: Any place you are asked to attach a document or enter text it is acceptable to provide a link to a current web
page instead. An attachment is also acceptable as an alternative to entering text directly on this form.
Step 6: Encourage racially and ethnically diverse resources within the community
A. Identify racial, socio-economic and minority needs in the community
Attach assessment or use
available data to document
identified needs within your
community
B. Offer diverse breastfeeding support collaboratively with community partners
Summarize the culturally
appropriate breastfeeding
support opportunities
available within your county
and how you are working to
meet the needs identified
above
Office Use:
Minnesota Department of Health
Office of Statewide Health Improvement Initiatives
P.O. Box 64882, St. Paul MN 55164-0882
www.health.mn.state.us/divs/oshii
Received on
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Site ID