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2012 Healthy Campus Grant Application in cooperation with the Texas Education Agency Spot color PMS 485 BLACK 4-Color Process ©2011 HEB, 11-2744CS C - 0% M - 100% Y - 100% K - 0% BLACK Purpose The H-E-B Excellence in Education Healthy Campus grant is designed to assist school campuses with resources and funding to increase health and nutrition education for their students. Grant monies are awarded to develop, implement and improve activities and programs centered around the three pillars of H-E-B’s statewide health improvement effort; Food, Body and Life. Grants should include at least one component from each of the three areas (review criteria for examples). Eligibility All public and private schools K-12 currently located in the H-E-B service area are eligible to apply. Schools located within 60 miles of an H-E-B or Central Market store are considered in the H-E-B service area. Criteria Grants should include a minimum of one program or activity from each of the three areas. Examples include, but are not limited to: Food • Nutritional education woven throughout the curriculum • Improvement/enhancement of the school lunch, breakfast and after-school snack program with a focus on the consumption of fresh fruits and vegetables, low-fat or non-fat dairy and non-sugary beverages. • Innovations in the school vending program Body • Incorporation of physical activity throughout the school day • Enhancement of physical education classes/programs and extracurricular activities • Programs/classes that encourage participation from parents and staff. (i.e. walking clubs, Zumba classes, etc.) • Nutrition education, weight management and Diabetes classes for parents and staff Life • Screening activities such as Fitness Gram that encourage students to “know their numbers” • Implementation of a “Health Risk Assessment” for children • Programs or activities that enhance or build emotional well-being and self-esteem • Programs or activities that promote proper oral care, drug or alcohol prevention, asthma prevention, etc. Evaluation Process All applications will be screened and scored by a team of professional readers. Grant recipients will be selected by a panel of judges comprised of community leaders, nutritionists and fitness experts. The panel will select 12 grant recipients each year based on information provided in the application. Grant Money The 12 grant recipients will be announced in January 2012. Each grant recipient will receive a three year grant in the amount of $15,000 with a payout of $5,000 per school year beginning in January of the 2011/2012 school year. After the first year, prior to the January payout, grant recipients will be required to send verification of grant money expenditures from the previous year. Grant recipients are eligible to reapply for an additional grant after the completion of previous grant. Grant money is to be allocated to the implementation of a new health and fitness program or the enhancement of a current program or activity as previously specified. Examples of Improper Use of Grant Money • Athletic team equipment or uniforms • Athletic equipment that is not available for all students to use • Athletic travel expenses Application Guidelines If you are mailing in your application rather than completing it online, please follow the instructions below: • Use no more than one page (8.5” X 11”) to answer each question. • Type your campus name at the top of each page. • Use no smaller than 10 pt. type and no less than 1.5” line spacing • Please retain a copy of the application for your records, as materials will not be returned. • Applications must be postmarked by November 11, 2011. Please submit your completed application to: H-E-B Excellence in Education 6929 Airport Blvd., Suite 176 Austin, TX 78752 Once your application has been received, you will be notified via mail. Please allow 3-5 days for processing. Professional Questions (essays) We believe that there are three important pillars to an individual’s overall health and wellness– FOOD, BODY and LIFE. Please refer to the previous examples and answer the following questions keeping these three pillars in mind. Again, your program must include a component from all three areas in order to be considered. Current Campus Programs 1. Please describe in detail your proposed program or activity (either new or existing) focused on each of the three pillars: FOOD, BODY & LIFE. Food 2. Describe programs or initiatives your campus would like to implement or expand to educate children, parents and staff on the importance of eating healthy. This can include programs in the classroom as well as before or after school programs that focus directly on healthy food choices. 3. What types of programs will your campus implement in the cafeteria and through nutrition services to encourage better food choices? Body 4. Describe programs or initiatives your campus would like to expand or implement to educate children, parents and staff on the importance of physical activity. This can include programs in the classroom as well as before or after school programs that focus directly on physical activity. Please do not include regular sports activities like football, cheerleading, volleyball, etc. 5. How will you encourage overall fitness outside of traditional team sports and competitive activities? Life 6. Describe new or existing programs on your campus that include screening activities for students to identify any health issues and notify parents of health concerns. 7. Describe new or existing programs on your campus that encourage students, parents and staff to live a healthy lifestyle and make good choices. An important role in encouraging others to live a healthy lifestyle is leading by example. It is crucial to the overall success of your program to have staff, parental, and community support. Please answer the questions below on how their support will benefit your program. Staff Involvement 8. What will be the expectation for participation by the administration and teachers on the campus? How will they lead by example? Parental Involvement 9. Include details of any specific programs or literature you plan to distribute to distribute to parents to help educate them on the importance of health and fitness for children? 10. What initiatives will your campus put in place to ensure that parents are supporting and inspiring good nutrition and activity when the students are at home or off campus? Community Involvement 11. Will your school be partnering with any health/fitness organizations or local businesses? If yes, please name the organization or business and describe what the partnership will entail Outcomes If you are selected as one of the 12 recipients, you will be asked to provide verification of your results each year prior to the release of funds in January. 12. Describe in detail your plan to measure results and key outcomes. Please be specific about the types of measurement that will be used to determine success and how you plan to utilize that information. Healthy Grant Application Form type or clearly print your answers. School Name: _____________________________________________________________________________________ Type of School: ____________________________________________________________________________________ Principal’s Name: __________________________________________________________________________________ Dr. ____ Mr. ____ Mrs. ____ Ms. ____ Address: _________________________________________________________________________________________ Street __________________________________________________________________________________________________ City State Zip Phone: ( ) ______________________ Email Address: _________________________________________________ School District: __________________________ UIL Rating: TEA District Rating Small District (1A, 2A or 3A): ______________ Large District (4A or 5A): ____________ Classification: ___________ Urban ___________ Suburban ___________ Rural ___________ Current Campus Enrollment: ____________________________________ Demographic breakdown of the student population: ____________________________________________________ __________________________________________________________________________________________________ Please submit your completed application to: H-E-B Excellence in Education 6929 Airport Blvd., Suite 176 Austin, TX 78752 Once your application has been received, you will be notified via mail. Please allow 3-5 days for processing.