Startup Fidelity Checklist

Peer Team Name______

OStakeholder Team participated in webinar/Sources Basic video and attended a Q and A session. Date ______

OAdministrators/Stakeholders exposed to theory, expectations, target outcomes, financial and time commitments. Date ______

OSuicide Intervention Protocol Review has been completed. Date ______

OAdministrator has Adult Advisor Core Skillset Date ______

OContract or MOA has been completed and signed (deliverables and expectations) Date______

OCore/Lead Advisor identified. Date ______

OAdult Advisor and Peer Leaders recruitment tools are explained Date______

OPeer Leaders and Adult Advisory Training Dates are set. Date ______

ORoom setup and training prep checklist explained and sent. Date______

OAdult Advisors Trained. Date ______

OLength of Training (3-6) ______

ONumber of Adult Advisors trained ______
NumberAdult Advisors untrained ______

OPeer Leaders Trained. Date ______

OLength of Peer Training (4-6 hours) ______

ONumber of Peer Leaders trained ______

OPercentage of school population ______

ORatio of Adult Advisor to Peer Leaders _____/_____

ONext Peer Leaders planning meeting/time date set by end of training

  • Date set______(Recommend within 10-14 days)

OActual date of 1st planning meeting following training. Date ______

OCompletion Date of 1stcampaign or activity. Date ______(Recommend within 1st 30 days)

ONumber of planning meetings/hours in first 3 months. _____/_____ (Recommend 5-6hours

ONumber of campaigns/activities within first 3 months ______(Recommend 3-4)

ONumber of Peer Leaders attending at least 3 planning meetings ______(Recommend75%)

ONumber of Peer Leaders helping with at least two campaigns ______(Recommend75%)

OTotal number of messaging styles used in initial three campaigns – “layered messaging”______(Recommend 4-5)

OPercentage of school population exposed to at least one campaign in first three months ______(Recommend70%)

OPercentage of school population exposed to at least three messaging campaigns in 1st three months ______(Recommend40%)

ONumber of planning meetings/hours in first 6months. _____/_____ (Recommend 5-6)

ONumber of campaigns/activities within first 6 months ______(Recommend 3-4)

ONumber of Peer Leaders attending at least 6 planning meetings ______(Recommend75%)

ONumber of Peer Leaders helping with at least 4 campaigns ______(Recommend75%)

OTotal number of messaging styles used in initial three campaigns – layering ______(Recommend 6-7)

OPercentage of school population exposed to at least two campaigns in first six months ______(Recommend 70%)

OPercentage of school population exposed to at least five messaging campaigns in 1st six months ______(Recommend40%)

ONumber of campaigns/activities that highlighted Sources of Strength wheel or focused on a specific strength ______

OCelebration/Honoring/Recognition Event for Peer Leaders Date ______

OSelf-Evaluation Tool Completed. Date ______

OFidelity Checklist completed Date ______