Criteria Statement Recording Template: Statement 12

Data Collection List

Directions: Below is a list of Data Sourcesto assist in answering the guiding questions for Criteria Statement 12. Please ensure that the applicable sources of data are gathered digitally and stored in the Criteria Statement 12 folder.
Criteria Statement 12
  • Annual General Return (AGR)
  • AnnualSchool Development Report (ASDR)
  • Assemblies/Celebrations/Observances/Multicultural Events
  • Budget Allocations
  • Class Lists
  • Class Schedule
  • Collation/Analysis of Report Card Data
  • Co-curricular and/or Extra-Curricular Activities
  • Community Activities/Events
  • Community Partnerships/Initiatives
  • Course Enrollment (General, Academic and Advanced Courses - HS only)
  • District and Provincial Policies and/or Procedures
  • District Specialist Support (ESL, inclusion, numeracy, Ed psych, literacy, behavioral, visual, etc.)
  • Equipment/Resource Inventory for each room/facility
  • Graduation Rate
  • Graduation Status
  • Internal and External Achievement Data/Analysis
  • Professional Learning Day Agendas
  • Program /Course Offerings
  • School-based Policies and Procedures (Code of Conduct, Safe and Caring Plan, Homework, Comprehensive Guidance Plan, Reporting, etc.)
/
  • School Website
  • Specialists Assignments (e.g., physical education, music, special education)
  • Survey Data
  • Use of School/Community facilities
  • Yearly Assessment Plans
  • Yearly Instruction Plans

Criteria Statement Recording Template

Directions: 1. Reflecting on the actions and practices occurring in your school, answer the guiding questions in the space provided.

2. Hyperlink the supporting data to the file that contains it.

Area for Review: Teaching and Learning

Criteria Statement / 12. Our school community fosters a culture of wellness and active healthy living.
School Actions/Practices / Assessment Data / Surveys/Focus Groups
12.1 How is a culture of wellness and active healthy living fostered and supported for students and staff members (e.g., Healthy Students/Healthy School Team, healthy eating programs, wellness activities/initiatives)? (Pr20, Pr21, Pr22, E24, E25, E26, E27, H30, H31, H32, S46, S47, S48, S49, S50, P25, P26, P27) (ASDR, assemblies/celebrations/observances/multicultural events, budget allocations, class schedule, co-curricular and/or extra-curricular activities, community activities/events, community partnerships/initiatives, district and provincial policies and/or procedures, district specialist support, equipment/resource inventory for each room/facility, professional learning day agendas, school-based policies and procedures, school website, specialists assignments, use of school/community facilities, yearly assessment plans, yearly instruction plans)
12.2 To what extent are students engaged in wellness and active healthy living related activities and practices beyond the instructional day (e.g., sporting/cultural activities, food choices, hobbies, clubs, community fitness/wellness centres)? (Pr23, Pr24, E28, E29, H33, H34, H35, P28, P29) (community activities/events, community partnerships/initiatives, use of school/community facilities) / 12.1(Pr20, Pr21, Pr22)
(Pr20) At my school, I go to the gym for gym class.
(Pr21) At my school, I play outdoors when the weather is nice.
(Pr22) At my school, I am encouraged to eat healthy food.
Pr20 / Pr21 / Pr22
Happy Face / % / % / %
Neutral Face / % / % / %
Sad Face / % / % / %
12.1 cont’d (E24, E25, E26, E27)
(E24) I participate actively in my gym classes.
(E25) At my school, I have the opportunity to take part in activities that help me learn how to be active and healthy.
(E26) At my school, I am encouraged to eat healthy foods.
(E27) At my school, I am encouraged to participate in a physical fitness activity outside of school.
E24 / E25 / E26 / E27
Disagree a Lot / % / % / % / %
Disagree / % / % / % / %
Unsure / % / % / % / %
Agree / % / % / % / %
Agree a Lot / % / % / % / %
12.1 cont’d (H30, H31, H32)
(H30) I participate actively in my physical education classes.
(H31) At my school, I have the opportunity to participate in activities that promote wellness and active healthy living.
(H32) At my school, I am encouraged to participate in a physical fitness activity outside of school.
H30 / H31 / H32
Disagree a Lot / % / % / %
Disagree / % / % / %
Unsure / % / % / %
Agree / % / % / %
Agree a Lot / % / % / %
12.1 cont’d (S46, S47, S48)
(S46) My school community fosters a culture of wellness and active healthy living.
(S47) I integrate wellness and active healthy living activities in my daily instruction.
(S48) Students in my school have opportunities to participate in activities and/or practices that support wellness and active healthy living.
S46 / S47 / S48
Strongly Disagree / % / % / %
Disagree / % / % / %
Unsure / % / % / %
Agree / % / % / %
Strongly Agree / % / % / %
Not Applicable / % / % / %
12.1 cont’d (S49, S50)
(S49) Teacher wellness (physical/mental/environmental health) is important at my school.
(S50) At my school, I participate in wellness and healthy living activities.
S49 / S50
Strongly Disagree / % / %
Disagree / % / %
Unsure / % / %
Agree / % / %
Strongly Agree / % / %
Not Applicable / % / %
12.1 cont’d (P25, P26, P27)
(P25) At school, my child has opportunities to participate regularly in activities that promote wellness and active healthy living.
(P26) My child makes healthy food choices at school.
(P27) My child’s school organizes activities and/or events that promote wellness and active healthy living.
P25 / P26 / P27
Strongly Disagree / % / % / %
Disagree / % / % / %
Unsure / % / % / %
Agree / % / % / %
Strongly Agree / % / % / %
Not Applicable / % / % / %
12.2(Pr23, Pr24)
(Pr23) Sometimes I play outdoors after school.
(Pr24) I eat healthy food at home most of the time.
Pr23 / Pr24
Happy Face / % / %
Neutral Face / % / %
Sad Face / % / %
12.2 cont’d (E28, E29)
(E28) I participate in a physical fitness activity outside of school.
(E29) I participate in an activity, hobby or club outside of school.
E28 / E29
Disagree a Lot / % / %
Disagree / % / %
Unsure / % / %
Agree / % / %
Agree a Lot / % / %
12.2cont’d (H33, H34, H35)
(H33) I participate in a physical fitness activity outside of school.
(H34) Outside of school, I regularly participate in a hobby, club and/or activity.
(H35) I make healthy food choices.
H33 / H34 / H35
Disagree a Lot / % / % / %
Disagree / % / % / %
Unsure / % / % / %
Agree / % / % / %
Agree a Lot / % / % / %
12.2 cont’d (P28, P29)
(P28) My child participates in physical fitness activities outside of school.
(P29) My child participates in activities outside of school.
P28 / P29
Strongly Disagree / % / %
Disagree / % / %
Unsure / % / %
Agree / % / %
Strongly Agree / % / %
Not Applicable / % / %

Provincial School Development

SmallSchool Model

Criteria Statement Recording Template

Revised 2013