school-health-program.

Instructions: Please complete all sections of this application. Incomplete applications may not be considered.

Please note this program is currently developed for grades 4th-8th.

Section 1: School Information

School Name

School District

School Parish

School Address

Primary Application Contact Name

Title/Position

Phone Number

Email Address

Grade Levels at School

Total Student Body Enrollment

Section 2: Program Overview

Greaux Healthy’s School Health Program provides faculty and staff with evidence-based best practices, empowering professionals with the knowledge and resources to support children and families in nutrition education and health promotion. Health promotion units offer lessons and student activity books that are aligned with Louisiana Student Standards for ELA, Health, and Physical Education standards and grade level expectations for integration into existing curricula.

Greaux Healthy’s Community Action Projects offer financial support to schools for implementing the School Health Program. As early adopters, you'll receive up to $2,000, technical assistance, professional development, and copies of the resources and materials.

Section 3: School Readiness

Tell us about your school! We would like to know more about the existing efforts to promote health and wellness across your campus and school community. The below answers will be used to assess readiness for program implementation. “No” answers do not automatically disqualify applying schools. Answers will be used to help select 20 schools for the upcoming school year.

Definitions for Guidance:

School Wellness Committee: A group of school staff, parents, and community members dedicated to creating a healthy school environment. The committee helps plan, promote, and support activities that enhance student well-being, such as physical activity and nutrition programs.

School Champion: A designated staff member or leader who advocates for wellness initiatives within the school. This individual coordinates activities, engages the school and community, and ensures health-related programs are effectively implemented.

1. School Wellness Committee

Does your school currently have a School Wellness Committee? YesNo

List committee members and their roles (e.g. - administrator, teacher, parent)

Briefly describe any recent initiatives or activities led by the School Wellness Committee

2. Designated School Champion

Do you have a designated School Champion to lead the Greaux Healthy School Health Program? YesNo

Champion's Name and Title

Champion's Email

3. School Health Index Completion

https://www.healthiergeneration.org/app/account/login

Has your school completed a School Health Index assessment? YesNo

When was the last assessment completed?

4. Nutrition Education Promotion

Does your school currently promote nutrition education in shared spaces (e.g. - cafeteria, classrooms)? YesNo

Briefly describe any current initiatives or materials used for nutrition promotion

5. Family Engagement Activities

Does your school engage families in health and wellness initiatives? YesNo

Please describe any specific activities or events involving families

6. Evaluation and Reporting Capability

Does your school have the capacity to evaluate and report on Greaux Healthy Evaluation surveys and other wellness initiatives? YesNo

Please explain the process used for evaluation and reporting

Can your school provide a year-end report that includes at least one school-wide success story and 10 school health implementation photos, with a minimum of three (3) photos for each category: nutrition, education promotion, family engagement, and education lesson delivery? YesNo

7. Physical Education (PE) Frequency

If 'Other', please explain

Briefly describe any additional activities your school organizes to promote physical activity

8. Health Education Lesson Delivery

Does your school have the capacity to deliver 15-18 health education lessons in one school year across designated grade level(s)? YesNo

Please outline any resources or support your school has for health education delivery (e.g. - lesson materials, dedicated health educators)

9. Training and Technical Assistance Participation

Can your school participate in the following Greaux Healthy training sessions?

One (1) in-person or online orientation training YesNo

A minimum of two (2) monthly technical assistance calls throughout the contract period YesNo

A minimum of two (2) training webinars throughout the contract period YesNo

10. Additional Comments

Please describe any other health and wellness activities or external partnerships at your school that you feel make your school a strong candidate for this program

11. Other Considerations

Why do you feel your school would benefit from participation in the Greaux Healthy School Health Program?

Section 4: Authorization

Principal's Name

Principal's Signature

Principal's Signature Date

Applicant's Name

Applicant's Signature

Applicant's Signature Date

School Health CAP Application

Definitions for Guidance:

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