Deadline: August 31, 2017
General Information
For any Texas school district or campus with a current health project that has been in place for at least one full school year and has final results. Winners would use the award money to sustain or expand the health project.
Name of Project:
Project Coordinator’s Name:
Project Coordinator’s Title:
Project Coordinator’s Phone Number: / Alternate Phone Number:
Project Coordinator’s Email Address: / Alternate Email Address:
Enter “X” to select how you learned about the Awards for Excellence in Texas School Health.
DSHS Friday Beat e-newsletter
DSHS School Health Program Website
Conference, Workshop, or Meeting
Colleague
Other:
Award of Achievement in Obesity Prevention
Enter “X” if this project has shown success in decreasing obesity in adolescence by promoting nutrition and physical activity.
District Information
Name of School District:
Superintendent Name:
District Tax Identification Number: / County:
District Street Address:
City: / Zip Code:
Campus Information
District applicants please skip this section.
Name of Campus:
Principal Name:
Campus Street Address:
City: / Zip Code:
Checklist
Enter “X” for checklist items you complete to ensure you have covered important steps in the process.
Our school district has a school health advisory council (SHAC).
Our SHAC approved this project and a letter of support is included with this application.
Our district has adopted a Texas Education Agency approved coordinated school health program for grades K-8.
This project aligns with one of the ten components of the Whole School, Whole Community, Whole Child Approach to School Health.
We have determined that there continues to be a need for this project.
We are following our implementation plan for this project.
We have re-evaluated/maintained the objectives for this project.
We have received support from campus staff for this project.
We have received support from campus or district administration for this project.
We have received support from the community for this project.
We are tracking the results for this project.
We plan to continue or expand this project next year.
This project is designed to be easily replicated on another campus or district by other school staff or volunteers.
If we win the 2017 Discovery Award, we plan on applying for the Vanguard Award to recognize sustainability of the project and show how it has grown since the last time it won.
Summary (10 points)
Explain the need and target population for the project. Include information from any surveys or interviews that you used to identify the need for this project.
Provide a summary of your project. Describe the result of the project, the current status, and future plans for the project.
How does the actual results compare to the anticipated results of the project?
Goals (25 points)
What is the main goal of the project?
Before the creation of the goals, was there a needs assessment conducted?
Yes No
Objectives (25 points)
List the measurable objectives of the project.
Have the objectives been re-evaluated since the inception of this project? If so, how has the evaluation affected the project?
Activities (15 points)
List and describe the activities occurring throughout the project. Consider activities related to planning, implementation, and follow-up. For each activity, identify the person who will oversee or coordinate the activity.
Activity 1: / Activity 1 Responsible Person:
Activity 2: / Activity 2 Responsible Person:
Activity 3: / Activity 3 Responsible Person:
Activity 4: / Activity 4 Responsible Party:
Activity 5: / Activity 5 Responsible Party:
Activity 6: / Activity 6 Responsible Party:
Activity 7: / Activity 7 Responsible Party:
Activity 8: / Activity 8 Responsible Party:
Activity 9: / Activity 9 Responsible Party:
Activity 10: / Activity 10 Responsible Party:
Collaboration (25 points)
Explain the role of the SHAC in the approval, development, and implementation of the project.
List individuals (by position) and groups in the school* who helped with the project. Also, describe what each individual and group has done to help with the project.
List individuals (by position) and community organizations outside the school* who helped with the project. Also, describe what each individual and organization has done to help with the project.
Award Funding (5 points)
The Discovery award money is to sustain or expand the health project. If this project is selected, how will the award money be used to sustain or expand the project?
Budget (5 points)
Listthe project’s expected budget items, quantities and estimated cost of the items. Please give details focusing on how these items will help achieve the project results.
If you have questions, contact the Texas Department of State Health Services’ School Health Program at or (512) 776-7279.
DSHS (3/17)Discovery ApplicationPage 1 of 4