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STAT: Apply for a Visit
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How to Apply for a 2018 STAT Visit

About the STAT Program | Become a STAT Team Member


States wishing to receive a STAT visit should submit a Letter of Intent by Thursday, December 21, 2017. Formal requests are due Friday, January 26, 2018 COB. The request should be from the state Secretary/Commissioner of Health or designee, and indicate that the Secretary or a senior Department official will attend the summary session of the visit (an official who is organizationally above the most senior person in the Injury and Violence Prevention Program). The required content of the visit request is described below. 


Submit the completed STAT visit request to Safe States Alliance by email (



STAT Visit Request: Content & Format


Please limit your request to 3-5 pages in length and include the following information:

  • Injury Program Description: In two pages or less, provide a brief overview of your injury prevention program, including your location organizationally within your department of health, the number of staff, total annual budget, and a description of your program’s major activities.
  • SWOT Analysis: Please provide a brief SWOT analysis (Strengths, Weaknesses, Opportunities, and Threats) of your program. Bulleted text is acceptable.
  • Plans for Using the STAT Report: Please briefly describe what you want out of the visit and how your program plans to use the information resulting from the STAT visit.
  • Timing of STAT Visit: Describe why this is a particularly good time for your program to receive a STAT visit. Is your program at a pivotal point? Is your program in a position to use information from a STAT visit?
  • Cost Sharing: Please describe your program's ability to cost share.
  • Potential STAT Visit Dates: Please provide three potential dates (week in length) for the requested STAT visit. Please limit the dates for a period prior to August 2018.
  • Safe States Alliance Representative Contact Information: Please provide current contact information for your state’s Safe States Alliance Designated Representative, including complete address, telephone/fax numbers, and email address.
  • Ability to Participate on a STAT Team: As part of the preparation for your visit, should you be selected, Safe States Alliance would like you to be a member of a team on a STAT visit prior to yours, if possible. Please indicate your past or future availability to participate on a STAT visit.

Selection Notification

States selected to receive a STAT visit will be notified by February 9, 2018.



Additional Information

If you have any questions about requesting a STAT visit or about STAT in general, please contact the Safe States Alliance at (770) 690-9000 or
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