HPSE Program Booklet Overview/Benefits - Jefferson County Public ...

2013-14
Health Promotion Schools of Excellence
School Information
2013-14
Health
Promotion
Schools of
Excellence
School Name:
School Address:
School Phone Number:
HPSE Coordinator’s Name:
Coordinator’s Phone Number:
School Contact Information
Today’s Date:
Number of Staff Members:
Certified:
Classified:
Total Enrollment (including Early Childhood):
Principal’s Name:
School HPSE Coordinator Information
HPSE Coordinator’s Title (e.g., FRC coordinator,
PE teacher):
Coordinator’s E-Mail:
HPSE Committee Members
Identify five or more HPSE Committee members below. The suggested members are as follows:
Suggested Representative Name Title E-Mail
1. HPSE Coordinator**
2. Physical Education*
3. Health Services*
(School nurse if applicable or
Health Records representative)
4. Nutrition Services*
5. Faculty/Staff*
6. Parent*
7. Counseling, Psychological and
Social Services*
8. Building Environment
9. Community Member
10. Additional Member
**Mandatory
*Highly Recommended
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