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Wellness Plan template STUDENT WELFARE FFA WELLNESS AND HEALTH SERVICES (REGULATION) 1 of 18 [Note to wellness plan developer(s): This template is intended to assist your district in the implementation of the District’s wellness policy at FFA(LOCAL). Although the Dis- trict addresses wellness and health services in many ways, this template is provided to satisfy federal requirements related to a school wellness policy. Be sure to delete the bold and/or italicized notes and developer instructions throughout this regulation and revise provisions as appropriate before finalizing your District’s wellness plan.] This document, referred to as the “wellness plan”(the plan), is in- tended to implement policy FFA(LOCAL), which has been adopted by the Board, to comply with the requirements for a school well- ness policy. [Section 9A(a) of the National School Lunch Act (NSLA), 42 U.S.C. 1758b] [Be sure to refer to your FFA(LOCAL) to determine if your local school health advisory council (SHAC) is the committee directed by the Board to fulfill the roles listed below. Although not a statutorily required duty of the SHAC, many districts use the SHAC to develop a plan to implement the wellness policy since it is an existing committee re- quired by state law that addresses a variety of health and wellness issues and has a similar composition as the federally required wellness committee.] Federal law requires that certain stakeholders be involved in the development, implementation, and periodic review and update of the wellness policy. The District has chosen to use the local school health advisory council (SHAC) to work on behalf of the District to review and consider evidence-based strategies and techniques in order to develop and implement nutrition guidelines and wellness goals as required by federal law. The SHAC will permit the follow- ing persons to work with the SHAC on the District’s wellness policy and plan: parents, students, the District’s food service provider, physical education teachers, school health professionals, Board members, administrators, and members of the public. The SHAC will solicit involvement and input of these other interested persons by: 1. Through the yearly SHAC meetings and other communica- tions, such as but not limited to email, webpage, and newslet- ters. 2. District survey Each campus principal is responsible for the implementation of FFA(LOCAL) and this wellness plan at his or her campus, including the submission of necessary information to the SHAC for evalua- tion. The superintendent is the District official responsible for the overall implementation of FFA(LOCAL), including the development of this WELLNESS PLAN STRATEGIES TO SOLICIT INVOLVEMENT IMPLEMENTATION

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Page 1: Wellness Plan Template - Amazon S3 · Wellness Plan template STUDENT WELFARE FFA WELLNESS AND HEALTH SERVICES (REGULATION) ... carte options or vending machines. For purposes of this

Wellness Plan template STUDENT WELFARE FFA WELLNESS AND HEALTH SERVICES (REGULATION)

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[Note to wellness plan developer(s): This template is intended to assist your district in the implementation of the District’s wellness policy at FFA(LOCAL). Although the Dis-trict addresses wellness and health services in many ways, this template is provided to satisfy federal requirements related to a school wellness policy. Be sure to delete the bold and/or italicized notes and developer instructions throughout this regulation and revise provisions as appropriate before finalizing your District’s wellness plan.]

This document, referred to as the “wellness plan”(the plan), is in-

tended to implement policy FFA(LOCAL), which has been adopted

by the Board, to comply with the requirements for a school well-

ness policy. [Section 9A(a) of the National School Lunch Act

(NSLA), 42 U.S.C. 1758b]

[Be sure to refer to your FFA(LOCAL) to determine if your local school health advisory council (SHAC) is the committee directed by the Board to fulfill the roles listed below. Although not a statutorily required duty of the SHAC, many districts use the SHAC to develop a plan to implement the wellness policy since it is an existing committee re-quired by state law that addresses a variety of health and wellness issues and has a similar composition as the federally required wellness committee.]

Federal law requires that certain stakeholders be involved in the

development, implementation, and periodic review and update of

the wellness policy. The District has chosen to use the local school

health advisory council (SHAC) to work on behalf of the District to

review and consider evidence-based strategies and techniques in

order to develop and implement nutrition guidelines and wellness

goals as required by federal law. The SHAC will permit the follow-

ing persons to work with the SHAC on the District’s wellness policy

and plan: parents, students, the District’s food service provider,

physical education teachers, school health professionals, Board

members, administrators, and members of the public. The SHAC

will solicit involvement and input of these other interested persons

by:

1. Through the yearly SHAC meetings and other communica-

tions, such as but not limited to email, webpage, and newslet-

ters.

2. District survey

Each campus principal is responsible for the implementation of

FFA(LOCAL) and this wellness plan at his or her campus, including

the submission of necessary information to the SHAC for evalua-

tion.

The superintendent is the District official responsible for the overall

implementation of FFA(LOCAL), including the development of this

WELLNESS PLAN

STRATEGIES TO

SOLICIT

INVOLVEMENT

IMPLEMENTATION

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wellness plan and any other appropriate administrative procedures,

and ensuring that each campus complies with the policy and plan.

In accordance with law, the District will periodically measure and

make available to the public an assessment of the implementation

of the District’s wellness policy, the extent to which each campus is

compliant with the wellness policy, a description of the progress

made in attaining the goals of the wellness policy, and the extent to

which the wellness policy compares with any state- or federally

designated model wellness policies. Absent federal regulations to

the contrary, the District commits to the evaluation activities de-

scribed below.

At least annually, the SHAC will prepare a report on the wellness

policy and this plan by gathering information from each principal

and appropriate District administrators. The SHAC will assess the

District’s and each campus’s progress toward meeting the goals of

the policy and plan by reviewing District- and campus-level activi-

ties and events tied to the wellness program.

The SHAC may use any of the following tools for that analysis:

District survey

Fitness gram

Lesson plans

To comply with the legal requirement to inform and update the pub-

lic about the content and implementation of the local wellness pol-

icy, the District will create a wellness page on its website to docu-

ment information and activity related to the school wellness policy,

including:

1. A copy of the wellness policy [FFA(LOCAL)];

2. A copy of this wellness plan, with dated revisions;

3. Notice of any Board revisions to policy FFA(LOCAL);

4. Notice of any SHAC meeting at which the wellness policy or

corresponding documents are scheduled to be discussed;

5. The SHAC’s annual report on the District’s wellness policy

and plan; and

6. Any other relevant information.

The District will also publish the above information in appropriate

District or campus publications.

EVALUATION

PUBLIC

NOTIFICATION

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Records regarding the District’s wellness policy will be retained in

accordance with law and the District’s records management pro-

gram. Questions may be directed to the superintendent, the Dis-

trict’s designated records management officer.

The following provisions describe the District’s nutrition guidelines

and activities and objectives chosen by the SHAC to implement the

Board-adopted wellness goals in policy FFA(LOCAL).

Federal law requires the United States Department of Agriculture (USDA) to promul-gate regulations that provide the framework and guidelines “for all foods available on each school campus under the jurisdiction of the local educational agency during the school day.” Please note, however, that current federal regulations only address foods and beverages sold to students, providing flexibility for foods and beverages that are made available or marketed to students during the school day. A school dis-trict’s nutrition guidelines must not be more lenient than the federal and state stand-ards, but a district can develop stricter guidelines as appropriate for the needs of the District. Make sure to encompass any stricter guidelines in the section below.]

All District campuses participate in the United States Department

of Agriculture’s (USDA’s) child nutrition programs, including the Na-

tional School Lunch Program (NSLP) and the School Breakfast

Program (SBP). Federal law requires that the District establish nu-

trition guidelines for foods made available on each campus that are

consistent with the federal standards and that promote student

health and reduce childhood obesity.

The District’s nutrition guidelines are to ensure all foods and bever-

ages sold, otherwise made available, or marketed to students dur-

ing the school day adhere to all federal regulations and guidance

and are designed to promote student health and reduce childhood

obesity.

The District will comply with federal requirements for reimbursable

meals. For other foods and beverages sold to students during the

school day, the District will comply with the federal requirements for

competitive foods. Competitive foods and beverages are not part

of the regular meal programs and occur through sales such as a la

carte options or vending machines. For purposes of this plan,

these requirements will be referred to as “Smart Snacks” standards

or requirements. The following websites have information regard-

ing meal and Smart Snacks requirements:

http://www.fns.usda.gov/school-meals/nutrition-standards-

school-meals

RECORDS

RETENTION

GUIDELINES AND

GOALS

NUTRITION

GUIDELINES

FOODS SOLD

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http://www.fns.usda.gov/healthierschoolday/tools-schools-fo-

cusing-smart-snacks

http://www.squaremeals.org/Publications/Handbooks.aspx

State rules adopted by the Texas Department of Agriculture (TDA)

allow an exemption to the Smart Snacks requirements for up to six

days per year per campus when a food or beverage is sold as part

of a District fundraiser. [See CO(LEGAL)]

The District will not allow exempted fundraisers; all fundraisers will

include non-food items, foods that meet the Smart Snacks stand-

ards, or foods that are not intended to be consumed at school.

There are currently no federal requirements for foods or beverages

made available to students during the school day. The District will

comply with state law, which allows a parent or grandparent to pro-

vide a food product of his or her choice to classmates of the per-

son’s child or grandchild on the occasion of the student’s birthday

or to children at a school-designated function. [See CO(LEGAL)]

In addition, the District has established the following local guide-

lines on foods and beverages made available to students: USDA

Guidelines

The District will measure compliance with the nutrition guidelines

by reviewing meal reimbursement submissions from the child nutri-

tion department to the TDA, reviewing foods and beverages that

are sold in competition with the regular school meals, reviewing

items sold as part of approved District fundraisers, and monitoring

the types of foods and beverages made available to students dur-

ing the school day.

Federal law requires that the District establish goals for nutrition

promotion in its wellness policy. The District’s nutrition promotion

activities will encourage participation in the National School Lunch

Program, the School Breakfast Program, and any supplemental

food and nutrition programs offered by the District.

In accordance with FFA(LOCAL), the District has established the

following goal(s) for nutrition promotion.

EXCEPTION—

FUNDRAISERS

FOODS MADE

AVAILABLE

MEASURING

COMPLIANCE

NUTRITION

PROMOTION

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[Coordinate the goals listed in this section with those listed in FFA(LOCAL). The re-maining sections of this template list two objectives under each goal along with a col-umn for action steps and another column reflecting the methods for measuring imple-mentation. Revise the tables and contents according to the District’s needs.]

GOAL: The District’s food service staff, teachers, and other District personnel shall con-

sistently promote healthy nutrition messages in cafeterias, classrooms, and other appropri-

ate settings.

Objective 1:

Action Steps Methods for Measuring Implementation

Announcements will be made on a daily ba-

sis on each campus including things such

as daily menu, food fact of the day, etc…

Baseline or benchmark data points:

Documentation of daily announce-

ments

Resources needed:

Intercom system, announcements

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Cafeteria staff will provide information to

students using various methods such as:

school menu, poster displays, flyers,

webpage, etc…

Baseline or benchmark data points:

Documentation of handouts, webpage

changes, and menu

Resources needed:

Webpage, menu, posters/displays

Obstacles:

GOAL: The District shall share educational nutrition information with families and the gen-

eral public to promote healthy nutrition choices and positively influence the health of stu-

dents.

Objective 1:

Action Steps Methods for Measuring Implementation

District web page will be utilized in order to

share educational nutrition information with

community and general public.

Baseline or benchmark data points:

Amount of views on district webpage

Resources needed:

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Monthly updates on webpage

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District will organize and hold health fair for

community.

Baseline or benchmark data points:

Attendance for yearly Health fair

Web page

Resources needed:

SHAC committee

Vendor participation in health fair

Webpage

Obstacles:

Scheduling

GOAL: The District shall ensure that food and beverage advertisements accessible to stu-

dents during the school day depict only products that meet the federal guidelines for meals

and competitive foods.

Objective 1:

Action Steps Methods for Measuring Implementation

Cafeteria staff will post only USDA approved

advertisements. Baseline or benchmark data points:

Documentation of USDA approved

posters

Resources needed:

Approved posters/advertisements

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Fundraiser advertisements would be in

compliance with federal guidelines except

for the allowed 6 approved days.

Baseline or benchmark data points:

Documentation of USDA approved

posters

Resources needed:

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Approved posters/advertisements

Six approved days for fundraisers/ac-

tivities preapproved and set on district

calendar

Obstacles:

Monitoring fundraisers

GOAL: List any other goal in the District’s FFA(LOCAL) related to nutrition promotion not

identified above.

Objective 1:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

Federal law requires that the District establish goals for nutrition

education in its wellness policy. State law also requires that the

District implement a coordinated health program with a nutrition

services and health education component at the elementary and

middle school levels. [See EHAA]

[Describe how the District implements the state-required coordinated health program component of nutrition education by listing one of the current TEA-approved coordi-nated school health programs, and describing the setting in which the program is of-fered.]

NUTRITION

EDUCATION

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In accordance with FFA(LOCAL), the District has established the

following goal(s) for nutrition education.

[Coordinate the goals listed in this section with those listed in FFA(LOCAL).]

GOAL: The District shall deliver nutrition education that fosters the adoption and mainte-

nance of healthy eating behaviors.

Objective 1:

Action Steps Methods for Measuring Implementation

The district will provide faculty with guide-

lines and nutrition education information that

fosters the adoption and maintenance of

healthy eating behaviors.

Baseline or benchmark data points:

Documentation of faculty meetings and

information given to staff.

Resources needed:

USDA guidelines

Faculty meetings

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Health or physical education teachers re-

sponsible for nutrition education will be ade-

quately prepared and will participate in ac-

tivities such as faculty meetings,

professional development, etc… to effec-

tively deliver the program as planned.

Baseline or benchmark data points:

Lesson plans

Resources needed:

Information/guidelines on nutrition edu-

cation

Obstacles:

GOAL: The District shall make nutrition education a District-wide priority and shall inte-

grate nutrition education into other areas of the curriculum, as appropriate.

Objective 1:

Action Steps Methods for Measuring Implementation

The district will provide faculty with guide-

lines and nutrition education information that

fosters the adoption and maintenance of

healthy eating behaviors.

Baseline or benchmark data points:

Lesson plans

Documentation of announcements (ex-

ample: BRAIN Gym activities)

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Resources needed:

USDA guidelines

Faculty meetings

Announcements

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Teachers will be adequately prepared and

will participate in activities such as faculty

meetings, professional development, receiv-

ing teacher handbook with guidelines, etc…

to effectively deliver the program as

planned.

Baseline or benchmark data points:

Lesson plans

Resources needed:

Information/guidelines on nutrition edu-

cation

Obstacles:

GOAL: The District shall provide professional development so that teachers and other

staff responsible for the nutrition education program are adequately prepared to effectively

deliver the program.

Objective 1:

Action Steps Methods for Measuring Implementation

District will provide professional develop-

ment for teachers and staff through meth-

ods such as: teacher handbook, e-trainings,

faculty meetings, etc…

Baseline or benchmark data points:

Sign in sheets

Certificates of completion of e-train-

ings

Resources needed:

E-trainings

Lessons provided by Chartwells

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District will provide specialized training for

teachers and staff in other areas of nutrition

Baseline or benchmark data points:

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and health education such as: CPR training,

diabetes training, food allergies, etc… Sign in sheets

Certificates of completion of e-train-

ings

Resources needed:

E-trainings

Possible outside sources (trainers)

Obstacles:

GOAL: List any other goal in the District’s FFA(LOCAL) related to nutrition education not

identified above.

Objective 1:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

The District will implement, in accordance with law, a coordinated

health program with physical education and physical activity com-

ponents and will offer at least the required amount of physical ac-

tivity for all grades. [See BDF, EHAA, EHAB, and EHAC]

PHYSICAL ACTIVITY

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[Include below how the District will meet the requirements for physical activity as mandated by Education Code 28.002(l)–(l-1), e.g., 30 minutes of daily recess in elemen-tary school grades, a requirement for students at the middle school level to enroll in a physical education or athletics course for at least four semesters, etc.]

Federal law requires that the District establish goals for physical

activity in its wellness policy.

In accordance with FFA(LOCAL), the District has established the

following goal(s) for physical activity.

[Coordinate the goals listed in this section with those listed in FFA(LOCAL).]

GOAL: The District shall provide an environment that fosters safe, enjoyable, and devel-

opmentally appropriate fitness activities for all students, including those who are not partici-

pating in physical education classes or competitive sports.

Objective 1:

Action Steps Methods for Measuring Implementation

District provides students with activities

such as: daily recess, physical education

classes, athletics, etc… as appropriate

Baseline or benchmark data points:

Schedules

Resources needed:

Guidelines and requirements

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District provides students with developmen-

tally appropriate fitness activities for ele-

mentary students during morning announce-

ment time.

Baseline or benchmark data points:

Tribe Vibe Power point documentation

Resources needed:

Gym

Projector

Laptop and powerpoint

Obstacles:

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GOAL: The District shall provide appropriate staff development and encourage teachers

to integrate physical activity into the academic curriculum where appropriate.

Objective 1:

Action Steps Methods for Measuring Implementation

District will provide professional develop-

ment for teachers and staff through meth-

ods such as: teacher handbook, e-trainings,

faculty meetings, etc…

Baseline or benchmark data points:

Lesson plans

Sign in sheets

Certificates of completion of e-train-

ings

Resources needed:

Faculty meetings

Teacher handbook

E-trainings

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District will provide specialized training for

teachers and staff in other areas of nutrition

and health education such as: CPR training,

diabetes training, food allergies, etc…

Baseline or benchmark data points:

Lesson Plans

Sign in sheets

Certificates of completion of e-train-

ings

Resources needed:

E-trainings

Obstacles:

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GOAL: The District shall make appropriate before-school and after-school physical activity

programs available and shall encourage students to participate.

Objective 1:

Action Steps Methods for Measuring Implementation

District provides students with developmen-

tally appropriate fitness activities for ele-

mentary students during morning announce-

ment time.

Baseline or benchmark data points:

Attendance records

Resources needed:

Laptop

Powerpoint for Tribe Vibe program

Projector

Gym

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District provides students with developmen-

tally appropriate fitness activities for ele-

mentary students for secondary students af-

ter school through the athletics program

Baseline or benchmark data points:

Participation records

Program outline

Resources needed:

Resources for each sport or activity

that is offered.

Obstacles:

GOAL: The District shall make appropriate training and other activities available to District

employees in order to promote enjoyable, life-long physical activity for District employees

and students.

Objective 1:

Action Steps Methods for Measuring Implementation

The district may provide an annual health

fair, and other opportunities such as: blood

drive, blood screening, flu shots, school in-

surance, discounts at local gyms, etc…

Baseline or benchmark data points:

Sign in of attendance of events

Resources needed:

Space for health fair

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Exhibitors or vendors to participate

Services from outside providers if nec-

essary

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District offers school facilities to students

and community as appropriate.

Baseline or benchmark data points:

Survey

Resources needed:

District facilities

Obstacles:

GOAL: The District shall encourage parents to support their children’s participation, to be

active role models, and to include physical activity in family events.

Objective 1:

Action Steps Methods for Measuring Implementation

District will inform and encourage parents to

support their children’s participation to be

active role models and to include physical

activity in family events through the district

website.

Baseline or benchmark data points:

Website views

Resources needed:

District website page (updated

monthly)

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

The district will provide an annual health fair

for students and community Baseline or benchmark data points:

Sign in sheet of attendance

Resources needed:

Space for health fair

Exhibitors/vendors to participate in fair.

Obstacles:

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GOAL: The District shall encourage students, parents, staff, and community members to

use the District’s recreational facilities, such as tracks, playgrounds, and the like, that are

available for use outside of the school day.

Objective 1:

Action Steps Methods for Measuring Implementation

District offers school facilities to students

and community as appropriate. Baseline or benchmark data points:

Survey

Resources needed:

District facilities

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District offers school facilities to community

programs such as Little Dribblers, Carlisle

Little League, etc… as appropriate.

Baseline or benchmark data points:

Survey

Resources needed:

District facilities

Obstacles:

GOAL: List any other goal in the District’s FFA(LOCAL) related to physical activity not

identified above.

Objective 1:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

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Objective 2:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

Federal law requires that the District establish goals for other

school-based activities in its wellness policy to promote student

wellness.

In accordance with FFA(LOCAL), the District has established the

following goal(s) as part of its student wellness policy to create an

environment conducive to healthful eating and physical activity and

to promote and express a consistent wellness message.

[Coordinate the goals listed in this section with those listed in FFA(LOCAL).]

GOAL: The District shall allow sufficient time for students to eat meals in cafeteria facili-

ties that are clean, safe, and comfortable.

Objective 1:

Action Steps Methods for Measuring Implementation

District will provide students with a sufficient

time for students to eat meals.

Baseline or benchmark data points:

District master schedule

Resources needed:

Cafeteria

Master schedule

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District will provide and maintain cafeteria

facilities that are clean, safe, and, comforta-

ble.

Baseline or benchmark data points:

Cleaning schedules

Supervisor observations

SCHOOL-BASED

ACTIVITIES

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Resources needed:

Clean, safe, and comfortable cafeteria

Obstacles:

GOAL: The District shall promote wellness for students and their families at suitable Dis-

trict and campus activities.

Objective 1:

Action Steps Methods for Measuring Implementation

The district will provide an annual health fair

for students, their families, and the commu-

nity.

Baseline or benchmark data points:

Sign in sheet of attendance

Resources needed:

Space for health fair

Exhibitors/vendors to participate in fair.

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

District promotes wellness through activi-

ties/literature/demonstrations on subjects

such as hand washing, oral hygiene proce-

dures, tooth brushing, ATV safety, driving

while intoxicated, etc…

Baseline or benchmark data points:

District calendar

Resources needed:

Literature/materials

Nurse or other outside presenter

Obstacles:

GOAL: The District shall promote employee wellness activities and involvement at suita-

ble District and campus activities.

Objective 1:

Action Steps Methods for Measuring Implementation

District facilities will be provided as appro-

priate

Baseline or benchmark data points:

Survey

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Resources needed:

District facilities

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

The district may provide services such as flu

shots, blood screening, health fair, blood

drive, etc…

Baseline or benchmark data points:

Sign in sheet of attendance

Resources needed:

Nurse or other outside provider of ser-

vices

Obstacles:

GOAL: List any other goal in the District’s FFA(LOCAL) related to other school-based ac-

tivities not identified above.

Objective 1:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles:

Objective 2:

Action Steps Methods for Measuring Implementation

Baseline or benchmark data points:

Resources needed:

Obstacles: