SCHOOLS FOR HEALTHY LIFESTYLES APPLICATION PACKET NEW SCHOOLS

Transcription

1 SCHOOLS FOR HEALTHY LIFESTYLES APPLICATION PACKET NEW SCHOOLS Mac McCrory, Ed.D. Executive Director Lindsi Lemons, MPH Program Director 500 N. Broadway, Suite 225 Oklahoma City, Oklahoma Phone: Fax:

2 CRITERIA FOR APPLICATION 1. Your school must be a public elementary school. If your school is divided into centers (ie: K-2, 3-6) please contact the SHL office for participation guidelines. (Due to public funding, private schools cannot be approved for participation.) 2. Faxed or ed applications will NOT be accepted. 3. Only typed proposals, which meet application criteria, will be considered. 4. Please do not include extra attachments (photos, brochures, etc.) 5. Do not bind original application (paperclip is fine). APPLICATION INSTRUCTIONS 1. Review criteria and program requirements/grant spending guidelines (listed below). 2. Completed applications must be in the SHL office, 500 N. Broadway, Suite 225, Oklahoma City, OK, 73102, by Thursday, February 19th by 4:00 p.m. (Located in the Gaylord Building next to downtown YMCA; parking is available on southeast corner of 4 th and Broadway.) Applications delivered by mail or hand after the deadline will not be accepted. Applications cannot be submitted by or fax. 3. All questions regarding the application must be submitted to lindsi@healthyschoolsok.org on or before February 12 th. All questions and answers will be posted on our website: under the Apply section. NOTE: You will be notified prior to the end of this school year whether or not your school has been selected. 2

3 Program Requirements/ Grant Spending Guidelines ** SHL currently has a US Department of Education grant which requires additional program activities and requirements. To receive benefits of the PEP grant, all participating schools must adhere to the PEP requirements in addition the requirements listed below. For a full list of PEP requirements, see page 4. ** 1. This application process is for a three-year tiered program. After the third year, and if your school meets all the requirements associated with each year, you will become a Senior/Certified school and be eligible for programs available only to Senior schools. 2. If your school has more than 700 students, two coordinators must be selected. 3. If your elementary is located on more than one campus, you must have principal approval from all campuses and each location must have a Coordinator. 4. Attendance of your team at the Summer Health Institute. Your school must select a three-member team to attend the Summer Health Institute. Your team must consist of the Coordinator and/or the PE teacher.. (If your school is located on more than one campus, PE teachers from all campuses must attend.) The same three-member team from your school MUST attend all sessions of the Summer Health Institute in order to receive the grant and participate in the SHL program. Principals are strongly encouraged to attend all sessions of the workshop and can also be counted as one of your team members. Attendance will be monitored and participants will receive a certificate of attendance for professional development credits. 5. Presentation of an SHL overview for your school staff. Each school will conduct the SHL orientation at the beginning of the school year to inform other staff members about the SHL program, available resources and curricula, their role in the project, etc. SHL staff is available to give these presentations. 6. Schools will administer Fitnessgram physical fitness testing for 3 rd, 4 th and 5 th graders (pre-test in fall; posttest in spring). Fitnessgram participation will take place through the Fitnessgram 10 program offered through the Oklahoma State Department of Health. Necessary materials, equipment, training and forms will be provided to perform and report the physical fitness testing. All five SHL required fitness tests must be completed: PACER, push-ups, sit and reach, trunk lift, and curl ups. Schools will submit results to SHL by established deadline for data entry and analysis. 7. A health knowledge, attitudes, and behaviors online survey for 3 rd, 4 th and 5 th graders will be administered twice per year (pre-test in fall; post-test in spring). A parental permission form for each student is required to participate in the written survey. Permission forms must be given to the survey administrator to be returned to SHL. (Permission form will be provided by SHL.) 8. SHL provided curriculum must be implemented in the year it is given (i.e., HealthTeacher in first year, Risk Watch in second year, etc.) and in all subsequent years. 9. One activity or event (walking club, health fair, etc.) per semester is required. You might want to center activities on national campaigns (ex. Heart-Health Month in February or Nutrition Awareness Month in March). 10. Submit required Mid-Year and End of Year report by deadline. Schools will submit a Mid-Year Report in January and an End of Year Report listing program accomplishments. A copy of all receipts for grant expenditures must be attached. Report forms will be provided by SHL. 11. If a deadline cannot be met, you must notify the SHL office within 5 business days to request a time extension. 12. Approved budget must include any items to be purchased including promotional items, professional development, transportation, equipment, etc. 3

4 13. In general, grant funds can be spent for most equipment for PE classes, health curricula, and other teaching resources such as visual aids, education videos, etc. SHL discourages the purchase of consumable items unless being used for a nutrition lesson. During the first year in the SHL program, grant funds must be spent on materials/supplies for the two focus areas you will implement (physical activity and nutrition). 14. Promotion items (t-shirts, hats, etc.) may be budgeted for purchase with grant funds if used as an incentive (weight loss or walking programs, etc.) for students and/or staff. A total of $100 per year can be spent for promotional items. 15. Grants funds may be used to pay for appropriate professional development fees, or substitute fees for coordinators only if: 1) a specific request has been outlined in the school s budget or with prior approval by SHL, and (2) the workshop/conference or special event directly relates to one of SHL s five focus areas. A school s total professional development costs should not exceed $100 per coordinator. 16. Grant funds may be used for bus transportation to SHL sponsored events if: a. a specific request has been outlined in the school s budget or by prior approval by SHL, and (2) the event directly relates to one of the five focus areas. Not more than $200 can be spent for transportation costs per year. 17. Any changes to the approved budget must be submitted on the Budget Change Request Form and approved by SHL staff prior to expenditures. (Form can be found on the flash drive given to you at the Summer Health Institute.) 18. In subsequent years, carryover funds cannot total more than $2,250. A specific plan must be submitted and approved for projects that require more than $2, All SHL schools must apply for the Certified Healthy Schools program through the Oklahoma State Department of Health and Oklahoma Turning Point. SHL will send how-to information when available. 20. New requirements can be added at any time, and each school will be responsible for making sure full compliance is met. PEP Grant Requirements (In addition to the requirements listed above.) 1. Additional data collection on identified K-2 students which include Fitnessgram and the online survey. 2. Identified sample students will wear pedometers for four consecutive days (including at home) and the SHL coordinator will be responsible for collecting the data. 3. Implementation of all PEP grant program activities and trainings (ie: SPARK, Learning Labs, School Health Index, etc.) Compliance Policies All non-compliance issues will be submitted to the Program Committee who will recommend appropriate action to the Board of Directors. 1. If any of the above requirements cannot be met, you must notify SHL within 5 business days to explain your situation. SHL has the right to place your school on probation or (depending on the importance of the requirement) remove your school from the SHL program. (For example, a requirement that may result in removal is refusal to implement testing.) A probation period may last up to one year and may result in not being awarded the next year s grant. 2. If your school is placed on more than 2 probationary periods during your participation in the SHL program, it will result in immediate dismissal from the SHL program. 3. If your school should leave (for any reason) the SHL program before your school is a senior/certified school, all equipment and unspent grant funds must be returned to SHL. 4. All SHL schools are subject to a site visit by SHL staff and/or Program Committee member which will consist of an audit of equipment, finances, and use of SHL resources. If any equipment or grant funds cannot be accounted for, this will be reported to the Program Committee and your school will be responsible for replacing the missing equipment or funds. 4

5 Schools for Healthy Lifestyles- Program Overview Freshmen (Year 1) Five schools will be admitted to the SHL program. Grant amount - $1,000. These schools will implement two focus areas: Physical Activity and Nutrition. Schools will receive: Fitness testing equipment, Physical Activity/Nutrition curriculum, and Mileage Club materials. Sophomore (Year 2) Grant amount - $750. Two more focus area will be added: Injury Prevention and Tobacco Use Prevention. Schools will receive: Injury Prevention materials; Tar Wars curriculum and a jar of a Year s Worth of Tar for Tobacco Use Prevention. In addition, each school will receive: Xbox Kinect (or other gaming machine); Fat and sugar lipos and food models to supplement the Nutrition focus area. Junior (Year 3) Grant amount - $500. One focus area will be added: Oral Health. Schools will receive: Adopt-A-Dentist (if available) and dental health materials. Adopt-A-Doc (if available) will also be added in this year. Additional materials will include: Portion control kits and posters for Nutrition, Safety videos and games for Injury Prevention, Mr. Gross Mouth for Tobacco Use Prevention and Oral Health, and Large Cigarette for Tobacco Use Prevention. If your school should leave the SHL program (for any reason) prior to becoming a Senior/Certified school, all equipment and unspent grant funds must be returned to SHL. Senior/Certified (Year 4+) - Grant amount up to $500 ($300 during PEP grant duration). (The grant award will be based on specific needs and carry over amounts.) Certified Schools only will be eligible for SHL sponsored programs including: Tasting Parties, Wee Wahoo, Wacky Water Wahoo, Bike Rodeos, Tar Wars presentations, Peaceful Playgrounds, SPARK, etc. Alumni (Year 9) - Grant amount up to $500 ($300 during PEP grant duration). (The grant award will be based on carryover funds from previous years.) Alumni Schools will: Maintain a coordinator; Be eligible for all the SHL sponsored programs listed above; Receive all s, notices of trainings, etc.; Receive resources such as Adopt-A-Doc and Adopt-A-Dentist; Continue to keep SHL informed about expenditure of grant funds that they have remaining; Continue to file the mid-year and final report with SHL staff PEP Grant Benefits (until 2017) Coordinator stipend (performance based) SPARK Curriculum ipad for Coordinator $2,000 of Physical Education Equipment Extra Training Learning Lab $750 of nutrition materials Training Stipends Pedometers and Software 5

6 Schools for Healthy Lifestyles New School Application Cover Sheet Name of School District School Address City/Zip Code County Telephone Number Fax Number Grades Served Number of Staff Percent of Free and Reduced Lunch Total Number of Students Served Is your district a 24/7 Tobacco Free district? Is your school participating in the Oklahoma State Department of Health s Fitnessgram 10? Y or N If Yes, has someone from your staff been trained in Fitnessgram? Please list the year and location of training: How did you learn about the SHL program? We, the undersigned, agree to follow each of the program requirements and spending guidelines as previously outlined. SUPERINTENDENT (OR DESIGNEE) SIGNATURE TYPED NAME ADDRESS PRINCIPAL SIGNATURE TYPED NAME ADDRESS SHL COORDINATOR SIGNATURE/TITLE TYPED NAME ADDRESS SHL COORDINATOR SIGNATURE/TITLE TYPED NAME ADDRESS 6

7 Contact Information Please list the SUMMER contact information for the coordinator(s) so we can keep him/her informed over the summer. Name Summer Address City/Zip Phone Cell Address Name Summer Address City/Zip Phone Cell Address Please list the SUMMER contact information for the principal(s) so we can keep him/her informed over the summer. Name Summer Address City/Zip Phone Cell Address 7

8 Application Be sure to attach the Application Cover Sheet and Contact Information to the front of your responses. Please only use the space provided. 1. Explain why your school wants to become a part of SHL. 2. Describe what your school has already done to address school wellness. 8

9 3. Has your school previously applied for the Certified Healthy Schools program? If so, what level is your school? 4. Which community partners have you already worked with to promote school health? 5. After 3 years in the SHL program, what changes do you anticipate/hope to see in the overall health environment of your schools? 9

10 6. Following the previously listed Grant Spending Guidelines, please list how you plan to spend your grant. (Your list must total $1,000.) Item Price Justification Example: Parachute, 24 w/o handles from Gopher $ To replace damaged parachute TOTAL 10

11 Please fill out the following form listing the SHL activities your school would complete to meet SHL program requirements. Month Activities Completed Ex. Fitnessgram testing AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER 11

12 JANUARY FEBRUARY MARCH APRIL MAY 12