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Building Healthy Communities
Building Healthy Communities
Join Project Healthy Schools
Building Healthy Communities: Engaging Middle Schools Through Project Healthy Schools
Did you review the program description before starting this application?
Before completing this application we recommend all applicants review the program description in its entirety.
Name of school
Address Line 1
Address Line 2
District of Columbia
Type of school
Percentage of students that qualify for free and reduced lunch
Grade levels served
What grades are served at your school?
Total school enrollment
Number of Faculty/Staff
School contact Info
Contact information for the person at your school that we should communicate with about your application.
Best email to contact you about your application?
Best phone number for us to use to contact you about your application?
Who will oversee program success?
Number of years in current role
School's Website/Social Media Coordinator
Which grade will the Project Healthy Schools Lessons be taught?
There are 10 (45 minute) lessons for 1 grade level chosen.
Enrollment of grades that will receive Project Healthy Schools lessons:
What class will the lessons be taught?
How many minutes is the class where PHS lessons will take place?
What percent of students in the grade where lessons will be taught will receive the 10 PHS lessons?
Move the slider along until you find the number you want
How many teachers will be teaching the PHS lessons?
Name of teacher(s) who will be teaching the lessons
Email of teacher(s) who will be teaching the lessons
There are 20 (30-minute) SEL lessons for each grade level within your school.
Please list the class within each grade level at your school where the SEL lessons will be taught?
Name of teacher(s) who will be teaching the SEL lessons
Email of teacher(s) who will be teaching SEL lessons
Fill out the information below for the identified wellness champion. The second name is only needed if there will be co-champions. Please provide the best phone number to reach them for the interview before June 18, 2021.
Wellness Champion Name #1
Position Title (#1)
Wellness Champion Name #2 (if applicable)
Position Title (#2)
School Wellness Team
Does your school currently have a coordinated school health team or wellness team?
If yes, please list your team members and their information below.
Upon award selection schools will need to identify team members
List wellness initiatives, programs, or activities your school has held in the past year
What other health and wellness programs and/or funding do you currently have at your school?
What student clubs or organizations does your school currently sponoser?
What time of day are these clubs/organizations offered?
Please select all that apply
What are the names of the teacher sponsors?
School Food Service
Food Service Director Name
Is your school food service managed by
A food service company
Name of food service company
Tell Us More About Your School
Identify one policy that you hope to implement that will improve health and well-being at your school:
Identify three goals that you hope to implement that will improve health and well-being at your school.
Goal No. 1
Goal No. 2
Goal No. 3
How did you hear about us?
We're always interested to hear how a school heard about applying for Project Healthy Schools.
Colleague at school
Email from outside my district
Email from inside my district
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