Provide a breakdown of the total funds (note: this column should equal the total HSG received). 1. $ 2. $ 3. $ $ 4. $ 5. $ OUTCOMES TITLE # ACTIVITY DESCRIPTION AND GOALS TARGET PRIORITY HEALTH TOPIC(S) EVIDENCE OUTCOMES/RESULTS (from Describe the activity, measurable goals, and if it was a division-based, Indicate which members of Please check the main priority Check all applicable evidence Approximately how many students section 3) school-based, or hybrid activity. If the activity includes multiple health the school community were health topic that informed the participated in the activity? topics, please describe below. engaged. for the activity. 1. Mental health promotion Healthy School Planner Nutrition Tell Them From Me Physical activity Youth Health Survey Safety and injury prevention Anecdotal Sexual & reproductive health N/A Substance abuse & addictions Other? Specify: 2. Mental health promotion Healthy School Planner Nutrition Tell Them From Me Physical activity Youth Health Survey Safety and injury prevention Anecdotal Sexual & reproductive health N/A Substance & addictions Other? Specify: 3. Mental health promotion Healthy School Planner Nutrition Tell Them From Me
Provide a breakdown of the total funds (note: this column should equal the total HSG received). $ $ 1. $ 2. $ 3. $ 4. $ 5. OUTCOMES TITLE # (from section 3) ACTIVITY DESCRIPTION AND GOALS Describe the activity, measurable goals, and if it was a division-based, school-based, or hybrid activity. If the activity includes multiple health topics, please describe below. TARGET Indicate which members of the school community were engaged. PRIORITY HEALTH TOPIC(S) Please check the main priority health topic EVIDENCE Check all applicable evidence that informed the for the activity. OUTCOMES/RESULTS Approximately how many students participated in the activity? 1. Mental health promotion Nutrition Physical activity Safety and injury prevention Sexual & reproductive health Substance abuse & addictions Healthy School Planner Tell Them From Me Youth Health Survey Anecdotal N/A Other? Specify: 2. Mental health promotion Nutrition Physical activity Safety and injury prevention Sexual & reproductive health Substance & addictions Healthy School Planner Tell Them From Me Youth Health Survey Anecdotal N/A Other? Specify: 3. Mental health promotion Nutrition Healthy School Planner Tell Them From Me
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