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

2013-14
Health
Promotion
Schools of
Excellence
Required CSH
Component
Identify the persons responsible for
delivering any health education in your
school.
Baseline Data
(from 2012-13 school year)
Name:
Discipline area:
Education topic:
End-of-Year Data
Name:
Discipline area:
Education topic:
List programs outside of the school
day that provide opportunities for
physical activity for students and the
number of students, staff, and parents
who participated.
List program:
# of participants:
List program:
# of participants:
List what programs were conducted
in your school to address the HPSE
Counseling, Psychological and Social
Services requirement (Prom Promise
or Dating Violence) and the number of
students participating.
List program:
# of participants:
List program:
# of participants:
How many of the Bullying Best Practices
have you implemented in your
school?
# implemented: # implemented:
List your schools’ schoolwide celebration
and what healthy activity was
integrated into the celebration.
List celebration:
Healthy activity integrated:
List celebration:
Healthy activity integrated:
What is the date of the last review of
your school wellness policy?
Date reviewed or created:
Were changes made? If so, please describe the changes.
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