Jeffco Healthy Schools: 2019-20 Liaisons and Goals
Jeffco Healthy Schools is identifying liaisons and goals for the 2019-2020 school year. Submit one form per school. Please include healthy school/wellness teams and other wellness champions in this process. To see if your school has submitted: https://tinyurl.com/y5gg3nwq
Email address *
Healthy Schools Information
I understand the following regarding Healthy Schools *
Required
Healthy Schools Team Info
School Name *
Your answer
Does your school have a healthy schools team/wellness committee? *
Teams must have at least 2 people, meeting at least 4-5 times a year. Typically a team has 5-8 staff, students and/or parents representing health across the school building.
Does your school have a healthy schools team/wellness committee? *
Teams must have at least 2 people, meeting at least 4-5 times a year. Typically a team has 5-8 staff, students and/or parents representing health across the school building.
Student Led Healthy Schools Teams (optional)
Stipends are available for one staff sponsor of student led wellness team. The team can be the sole Healthy Schools Team, OR part of another student team (Student Voice, Restorative, GSA, etc.) OR in addition to an adult Healthy Schools Team.

Details and action steps will be shared with anyone who is interested. Basic overview includes: developing a student led team, holding 7-10 meetings a year, completing a school wellness assessment, and developing and implementing any wellness related goals.


*Please complete this entire form and select student-led healthy school team as your goal area.*
Does your school have a STUDENT-LED healthy schools team? *
A team in which students make up most of the membership and decision-making authority.
Contact Info
Healthy Schools Liaison #1 *
This is the person who will receive a confirmation email with a copy of your submission.
Your answer
Healthy Schools Liaison #1 Email *
Your answer
Healthy Schools Liaison #1 Role or Title *
Healthy Schools Liaison #2
We STRONGLY recommend having two leaders.
Your answer
Healthy Schools Liaison #2 Email
Your answer
Healthy Schools Liaison #2 Role or Title
Employee Wellness Liaison
Employee Wellness Liaisons simply relay Employee Wellness information to their school, and develop and implement Employee Wellness goals or activities if that is a direction the school chooses. This can be one of the above Healthy Schools Liaisons or a different staff person.
Your answer
Employee Wellness Liaison Email
Your answer
Any additional people who want to be on our contact list?
Please list EMAILS separated by semicolon
Your answer
Healthy Schools Goals
A best practice is to have annual health and wellness goals at your school. Please identify your goals below.
See examples here: https://goo.gl/WYClAv.

Schools often use their Healthy Schools Smart Source or Jeffco Healthy Schools Checklist results to help identify their goals. This tool is also useful to identify best practices for your school. See inventory of questions here: http://www.coloradoedinitiative.org/wp-content/uploads/2017/08/SmartSource_MasterTool_2017b.pdf
Healthy Schools Goal #1
Goal #1 - Select (or write in) one area for your first goal *
Share a short description (2-3 sentences) of how your school might accomplish this goal.
This helps Jeffco Healthy Schools know what resources are needed in the district.
Your answer
Healthy Schools Goal #2
Goal #2 - Select (or write in) one area for your second goal *
Share a short description (2-3 sentences) of how your school might accomplish this goal.
This helps Jeffco Healthy Schools know what resources are needed in the district.
Your answer
By checking below, I verify that we have our principal's permission and support to implement these goals.
The Fall Healthy Schools Workshop will be September 26, 2019 in Golden. Participants include Healthy Schools Liaisons and team members, and others who are interested in health and wellness.
Healthy Schools Banner
Our school would like a "Proud to be a Healthy School" banner.
To be able to receive a banner, your school must have both a healthy schools team and goals.
You are done! Hit SUBMIT and Jeffco Healthy Schools staff will be in touch soon!
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Jefferson County Public Schools. Report Abuse - Terms of Service