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School Health Data Report Use this report to submit BMI or SBIRT data CSHS-funded schools will also use this report to submit end-of-year data (2022-2023 School Year) General Guidelines Submit only ONE report for the entire school district. (Do not submit a separate report for each school). This report should summarize the status of ALL the schools in the district. In most cases, this would include all schools in your Local Public School System and no others. Please add together numbers for all schools and enter only the district-wide totals. School Unions should preferably submit ONE report for all of the public schools included in the school union and affiliated regional school districts.
1. A. Name of person completing report:* B. Position:* 2. Phone number: Phone extension:
3. Email address:*
1. Name of person completing report:
* must provide value
4. Type of School or District
* must provide value
Local Public School District Regional Academic School District Regional Vocational/Technical School District Charter School District School Union Educational Collaborative Nonpublic/private School Other
5. Name of ______ * Submit one report per ______ .
5.1) Name of Local Public School District
Submit one report per ______ , do not submit reports for individual public schools.
* must provide value
ABINGTON ACUSHNET AGAWAM AMESBURY AMHERST ANDOVER ARLINGTON ASHLAND ATTLEBORO AUBURN AVON BARNSTABLE BEDFORD BELCHERTOWN BELLINGHAM BELMONT BERKLEY BERLIN BEVERLY BILLERICA BOSTON BOURNE BOXFORD BOYLSTON BRAINTREE BREWSTER BRIMFIELD BROCKTON BROOKFIELD BROOKLINE BURLINGTON CAMBRIDGE CANTON CARLISLE CARVER CHELMSFORD CHELSEA CHICOPEE CLARKSBURG CLINTON COHASSET CONCORD CONWAY DANVERS DARTMOUTH DEDHAM DEERFIELD DOUGLAS DOVER DRACUT DUXBURY EAST BRIDGEWATER EAST LONGMEADOW EASTHAM EASTHAMPTON EASTON EDGARTOWN ERVING EVERETT FAIRHAVEN FALL RIVER FALMOUTH FITCHBURG FLORIDA FOXBOROUGH FRAMINGHAM FRANKLIN GARDNER GEORGETOWN GLOUCESTER GOSNOLD GRAFTON GRANBY GREENFIELD HADLEY HALIFAX HANCOCK HANOVER HARVARD HATFIELD HAVERHILL HINGHAM HOLBROOK HOLLAND HOLLISTON HOLYOKE HOPEDALE HOPKINTON HUDSON HULL IPSWICH KINGSTON LANESBOROUGH LAWRENCE LEE LEICESTER LENOX LEOMINSTER LEVERETT LEXINGTON LINCOLN LITTLETON LONGMEADOW LOWELL LUDLOW LUNENBURG LYNN LYNNFIELD MALDEN MANSFIELD MARBLEHEAD MARION MARLBOROUGH MARSHFIELD MASHPEE MATTAPOISETT MAYNARD MEDFIELD MEDFORD MEDWAY MELROSE METHUEN MIDDLEBOROUGH MIDDLETON MILFORD MILLBURY MILLIS MILTON MONSON NAHANT NANTUCKET NATICK NEEDHAM NEW BEDFORD NEWBURYPORT NEWTON NORFOLK NORTH ADAMS NORTH ANDOVER NORTH ATTLEBOROUGH NORTH BROOKFIELD NORTH READING NORTHAMPTON NORTHBOROUGH NORTHBRIDGE NORTON NORWELL NORWOOD OAK BLUFFS ORANGE ORLEANS OXFORD PALMER PEABODY PELHAM PEMBROKE PETERSHAM PITTSFIELD PLAINVILLE PLYMOUTH PLYMPTON PROVINCETOWN QUINCY RANDOLPH READING REVERE RICHMOND ROCHESTER ROCKLAND ROCKPORT ROWE SALEM SANDWICH SAUGUS SAVOY SCITUATE SEEKONK SHARON SHERBORN SHREWSBURY SHUTESBURY SOMERSET SOMERVILLE SOUTH HADLEY SOUTHAMPTON SOUTHBOROUGH SOUTHBRIDGE SPRINGFIELD STONEHAM STOUGHTON STURBRIDGE SUDBURY SUNDERLAND SUTTON SWAMPSCOTT SWAMPSCOTT (INCLUDING NAHANT) SWANSEA TAUNTON TEWKSBURY TISBURY TOPSFIELD TRURO TYNGSBOROUGH UXBRIDGE WAKEFIELD WALES WALPOLE WALTHAM WARE WAREHAM WATERTOWN WAYLAND WEBSTER WELLESLEY WELLFLEET WEST BOYLSTON WEST BRIDGEWATER WEST SPRINGFIELD WESTBOROUGH WESTFIELD WESTFORD WESTHAMPTON WESTON WESTPORT WESTWOOD WEYMOUTH WHATELY WILLIAMSBURG WILLIAMSTOWN WILMINGTON WINCHENDON WINCHESTER WINTHROP WOBURN WORCESTER WORTHINGTON WRENTHAM OTHER
Other Local Public School District (Please Specify)
* must provide value
5.2) Name of Regional Academic School District
Submit one report per ______ .
* must provide value
ACTON-BOXBOROUGH ADAMS-CHESHIRE AMHERST-PELHAM ASHBURNHAM-WESTMINSTER ATHOL-ROYALSTON AYER SHIRLEY SCHOOL DISTRICT BERKSHIRE HILLS BERLIN-BOYLSTON BLACKSTONE-MILLVILLE BRIDGEWATER-RAYNHAM CENTRAL BERKSHIRE CHESTERFIELD-GOSHEN CONCORD-CARLISLE DENNIS-YARMOUTH DIGHTON-REHOBOTH DOVER-SHERBORN DUDLEY-CHARLTON REG FARMINGTON RIVER REG FREETOWN-LAKEVILLE FRONTIER GATEWAY GILL-MONTAGUE GROTON-DUNSTABLE HAMILTON-WENHAM HAMPDEN-WILBRAHAM HAMPSHIRE HAWLEMONT KING PHILIP LINCOLN-SUDBURY MANCHESTER ESSEX REGIONAL MARTHA'S VINEYARD MASCONOMET MENDON-UPTON MOHAWK TRAIL MONOMOY REGIONAL SCHOOL DISTRICT MOUNT GREYLOCK NARRAGANSETT NASHOBA NAUSET NEW SALEM-WENDELL NORTH MIDDLESEX NORTHBORO-SOUTHBORO OLD ROCHESTER PENTUCKET PIONEER VALLEY QUABBIN QUABOAG REGIONAL RALPH C MAHAR SILVER LAKE SOMERSET BERKLEY REGIONAL SCHOOL DISTRICT SOUTHERN BERKSHIRE SOUTHWICK-TOLLAND-GRANVILLE REGIONAL SCHOOL DISTRICT SPENCER-E BROOKFIELD TANTASQUA TRITON UP-ISLAND REGIONAL WACHUSETT WHITMAN-HANSON OTHER
Other Regional Academic School District (Please Specify)
* must provide value
5.3) Name of Regional Vocational/Technical School District
Submit one report per ______ .
* must provide value
ASSABET VALLEY REGIONAL VOCATIONAL TECHNICAL BLACKSTONE VALLEY REGIONAL VOCATIONAL TECHNICAL BLUE HILLS REGIONAL VOCATIONAL TECHNICAL BRISTOL COUNTY AGRICULTURAL BRISTOL-PLYMOUTH REGIONAL VOCATIONAL TECHNICAL CAPE COD REGIONAL VOCATIONAL TECHNICAL ESSEX NORTH SHORE AGRICULTURAL AND TECHNICAL SCHOOL DISTRICT FRANKLIN COUNTY REGIONAL VOCATIONAL TECHNICAL GREATER FALL RIVER REGIONAL VOCATIONAL TECHNICAL GREATER LAWRENCE REGIONAL VOCATIONAL TECHNICAL GREATER LOWELL REGIONAL VOCATIONAL TECHNICAL GREATER NEW BEDFORD REGIONAL VOCATIONAL TECHNICAL MINUTEMAN REGIONAL VOCATIONAL TECHNICAL MONTACHUSETT REGIONAL VOCATIONAL TECHNICAL NASHOBA VALLEY REGIONAL VOCATIONAL TECHNICAL NORFOLK COUNTY AGRICULTURAL NORTHAMPTON-SMITH VOCATIONAL AGRICULTURAL NORTHEAST METROPOLITAN REGIONAL VOCATIONAL TECHNICAL NORTHERN BERKSHIRE REGIONAL VOCATIONAL TECHNICAL OLD COLONY REGIONAL VOCATIONAL TECHNICAL PATHFINDER REGIONAL VOCATIONAL TECHNICAL SHAWSHEEN VALLEY REGIONAL VOCATIONAL TECHNICAL SOUTH MIDDLESEX REGIONAL VOCATIONAL TECHNICAL SOUTH SHORE REGIONAL VOCATIONAL TECHNICAL SOUTHEASTERN REGIONAL VOCATIONAL TECHNICAL SOUTHERN WORCESTER COUNTY REGIONAL VOCATIONAL TECHNICAL TRI-COUNTY REGIONAL VOCATIONAL TECHNICAL UPPER CAPE COD REGIONAL VOCATIONAL TECHNICAL WHITTIER REGIONAL VOCATIONAL TECHNICAL OTHER
Other Regional Vocational/Technical School District (Please Specify)
* must provide value
5.4) Name of Charter School District
Submit one report per ______ .
* must provide value
ABBY KELLEY FOSTER CHARTER PUBLIC (DISTRICT) ACADEMY OF THE PACIFIC RIM CHARTER PUBLIC (DISTRICT) ADVANCED MATH AND SCIENCE ACADEMY CHARTER (DISTRICT) ALMA DEL MAR CHARTER SCHOOL (DISTRICT) ARGOSY COLLEGIATE CHARTER SCHOOL (DISTRICT) ATLANTIS CHARTER (DISTRICT) BAYSTATE ACADEMY CHARTER PUBLIC SCHOOL (DISTRICT) BENJAMIN BANNEKER CHARTER PUBLIC (DISTRICT) BENJAMIN FRANKLIN CLASSICAL CHARTER PUBLIC (DISTRICT) BENTLEY ACADEMY CHARTER SCHOOL (DISTRICT) BERKSHIRE ARTS AND TECHNOLOGY CHARTER PUBLIC (DISTRICT) BOSTON COLLEGIATE CHARTER (DISTRICT) BOSTON DAY AND EVENING ACADEMY CHARTER (DISTRICT) BOSTON GREEN ACADEMY HORACE MANN CHARTER SCHOOL (DISTRICT) BOSTON PREPARATORY CHARTER PUBLIC (DISTRICT) BOSTON RENAISSANCE CHARTER PUBLIC (DISTRICT) BRIDGE BOSTON CHARTER SCHOOL (DISTRICT) BROOKE CHARTER SCHOOL (DISTRICT) BROOKE CHARTER SCHOOL EAST BOSTON (DISTRICT) BROOKE CHARTER SCHOOL MATTAPAN (DISTRICT) BROOKE CHARTER SCHOOLS (ALL CAMPUSES) CAPE COD LIGHTHOUSE CHARTER (DISTRICT) CHRISTA MCAULIFFE CHARTER PUBLIC (DISTRICT) CITY ON A HILL CHARTER PUBLIC SCHOOL CIRCUIT STREET (DISTRICT) CITY ON A HILL CHARTER PUBLIC SCHOOL DUDLEY SQUARE (DISTRICT) CITY ON A HILL CHARTER PUBLIC SCHOOL NEW BEDFORD (DISTRICT) CODMAN ACADEMY CHARTER PUBLIC (DISTRICT) COLLEGIATE CHARTER SCHOOL OF LOWELL (DISTRICT) COMMUNITY CHARTER SCHOOL OF CAMBRIDGE (DISTRICT) COMMUNITY DAY CHARTER (ALL CAMPUSES) COMMUNITY DAY CHARTER PUBLIC SCHOOL - GATEWAY (DISTRICT) COMMUNITY DAY CHARTER PUBLIC SCHOOL - PROSPECT (DISTRICT) COMMUNITY DAY CHARTER PUBLIC SCHOOL - R. KINGMAN WEBSTER (DISTRICT) CONSERVATORY LAB CHARTER (DISTRICT) DUDLEY STREET NEIGHBORHOOD CHARTER SCHOOL (DISTRICT) EDWARD M. KENNEDY ACADEMY FOR HEALTH CAREERS (HORACE MANN CHARTER) (DISTRICT) EXCEL ACADEMY CHARTER (DISTRICT) FOUR RIVERS CHARTER PUBLIC (DISTRICT) FOXBOROUGH REGIONAL CHARTER (DISTRICT) FRANCIS W. PARKER CHARTER ESSENTIAL (DISTRICT) GLOBAL LEARNING CHARTER PUBLIC (DISTRICT) HAMPDEN CHARTER SCHOOL OF SCIENCE EAST (DISTRICT) HAMPDEN CHARTER SCHOOL OF SCIENCE WEST (DISTRICT) HELEN Y. DAVIS LEADERSHIP ACADEMY CHARTER PUBLIC (DISTRICT) HILL VIEW MONTESSORI CHARTER PUBLIC (DISTRICT) HILLTOWN COOPERATIVE CHARTER PUBLIC (DISTRICT) HOLYOKE COMMUNITY CHARTER (DISTRICT) INNOVATION ACADEMY CHARTER (DISTRICT) KIPP ACADEMY BOSTON CHARTER SCHOOL (DISTRICT) KIPP ACADEMY LYNN CHARTER (DISTRICT) LAWRENCE FAMILY DEVELOPMENT CHARTER (DISTRICT) LIBERTAS ACADEMY CHARTER SCHOOL (DISTRICT) LOWELL COMMUNITY CHARTER PUBLIC (DISTRICT) LOWELL MIDDLESEX ACADEMY CHARTER (DISTRICT) MA ACADEMY FOR MATH AND SCIENCE MAP ACADEMY CHARTER SCHOOL (DISTRICT) MARBLEHEAD COMMUNITY CHARTER PUBLIC (DISTRICT) MARTHA'S VINEYARD CHARTER (DISTRICT) MARTIN LUTHER KING JR. CHARTER SCHOOL OF EXCELLENCE (DISTRICT) MATCH CHARTER PUBLIC SCHOOL (DISTRICT) MYSTIC VALLEY REGIONAL CHARTER (DISTRICT) NEIGHBORHOOD HOUSE CHARTER (DISTRICT) NEW HEIGHTS CHARTER SCHOOL OF BROCKTON (DISTRICT) OLD STURBRIDGE ACADEMY CHARTER PUBLIC SCHOOL (DISTRICT) PAULO FREIRE SOCIAL JUSTICE CHARTER SCHOOL (DISTRICT) PHOENIX ACADEMY PUBLIC CHARTER HIGH SCHOOL LAWRENCE (DISTRICT) PHOENIX ACADEMY PUBLIC CHARTER HIGH SCHOOL SPRINGFIELD (DISTRICT) PHOENIX CHARTER ACADEMY (DISTRICT) PIONEER CHARTER SCHOOL OF SCIENCE (DISTRICT) PIONEER CHARTER SCHOOL OF SCIENCE II (PCSS-II) (DISTRICT) PIONEER VALLEY CHINESE IMMERSION CHARTER (DISTRICT) PIONEER VALLEY PERFORMING ARTS CHARTER PUBLIC (DISTRICT) PROSPECT HILL ACADEMY CHARTER (DISTRICT) RISING TIDE CHARTER PUBLIC (DISTRICT) RIVER VALLEY CHARTER (DISTRICT) ROXBURY PREPARATORY CHARTER (DISTRICT) SABIS INTERNATIONAL CHARTER (DISTRICT) SALEM ACADEMY CHARTER (DISTRICT) SEVEN HILLS CHARTER PUBLIC (DISTRICT) SILVER HILL HORACE MANN CHARTER (DISTRICT) SIZER SCHOOL: A NORTH CENTRAL CHARTER ESSENTIAL (DISTRICT) SOUTH SHORE CHARTER PUBLIC (DISTRICT) SPRINGFIELD PREPARATORY CHARTER SCHOOL (DISTRICT) STURGIS CHARTER PUBLIC (DISTRICT) UP ACADEMY CHARTER SCHOOL OF BOSTON (DISTRICT) UP ACADEMY CHARTER SCHOOL OF DORCHESTER (DISTRICT) UP ACADEMY CHARTER SCHOOL OF SPRINGFIELD VERITAS PREPARATORY CHARTER SCHOOL (DISTRICT) OTHER
Other Charter School District (Please Specify)
* must provide value
5.5) Name of School Union
Submit one report per ______ , do not submit reports for individual schools.
* must provide value
AMHERST-PELHAM (REGIONAL+ SCHOOL UNION 26) AMHERST-PELHAM (SCHOOL UNION 26) BERLIN BOYLSTON (SCHOOL UNION 60) BERLIN-BOYLSTON (REGIONAL+ SCHOOL UNION 60) DOVER-SHERBORN (REGIONAL+ SCHOOL UNION 50) DOVER-SHERBORN (SCHOOL UNION 50) ERVING (SCHOOL UNION 28) FRONTIER (REGIONAL+ SCHOOL UNION 38) FRONTIER (SCHOOL UNION 38) HAMPSHIRE (REGIONAL+ SCHOOL UNION 66) HAMPSHIRE (SCHOOL UNION 66) LEE-TYRINGHAM (SCHOOL UNION 29) MARTHA'S VINEYARD (REGIONAL+ SCHOOL UNION 19) MARTHA'S VINEYARD (SCHOOL UNION 19) MASCONOMET (REGIONAL + TRI-TOWN SCHOOL UNION 58) NAUSET (REGIONAL+ SCHOOL UNION 54) NAUSET (SCHOOL UNION 54) NORTHBORO-SOUTHBORO (REGIONAL+ SCHOOL UNION 3) NORTHBOROUGH-SOUTHBOROUGH (SCHOOL UNION 3) NORTHERN BERKSHIRE (SCHOOL UNION 43) OLD ROCHESTER (REGIONAL+ SCHOOL UNION 55) OLD ROCHESTER (SCHOOL UNION 55) SHAKER MOUNTAIN (SCHOOL UNION 70) SILVER LAKE (REGIONAL+ SCHOOL UNION 31) SILVER LAKE (SCHOOL UNION 31) TANTASQUA (REGIONAL+ SCHOOL UNION 61) TANTASQUA (SCHOOL UNION 61) TRI-TOWN (SCHOOL UNION 58) WILLIAMSTOWN-LANESBOROUGH (SCHOOL UNION 71) OTHER
Other School Union (Please Specify)
* must provide value
5.6) Name of Educational Collaborative
Submit one report per ______ .
* must provide value
ACCEPT EDUCATION COLLABORATIVE ASSABET VALLEY COLLABORATIVE BI-COUNTY COLLABORATIVE (BICO) C.A.S.E. CONCORD AREA SPED COLLABORATIVE CAPE COD COLLABORATIVE CAPS EDUCATION COLLABORATIVE CENTRAL MASSACHUSETTS SPED COLLABORATIVE COLLABORATIVE FOR EDUCATIONAL SERVICES COLLABORATIVE FOR REGIONAL EDUCATIONAL SERVICES & TRAINNG (CREST) EDCO COLLABORATIVE FLLAC COLLABORATIVE LABBB COLLABORATIVE LOWER PIONEER VALLEY EDUCATIONAL COLLABORATIVE NORTH RIVER COLLABORATIVE NORTHSHORE EDUCATION CONSORTIUM PILGRIM AREA COLLABORATIVE (PAC) PROJECT SPOKE COLLABORATIVE READS COLLABORATIVE SEEM COLLABORATIVE SHORE EDUCATIONAL COLLABORATIVE SOUTH COAST EDUCATIONAL COLLABORATIVE SOUTH SHORE EDUCATIONAL COLLABORATIVE SOUTHEASTERN MASS. EDUCATIONAL COLLABORATIVE (SMEC) SOUTHERN WORCESTER COUNTY EDUCATIONAL COLLABORATIVE THE EDUCATION COOPERATIVE (TEC) VALLEY COLLABORATIVE OTHER
Other Educational Collaborative (Please Specify)
* must provide value
Andover School of Montessori, 400 South Main, Andover Bais Yaakov of Boston, 198 Strathmore Road, Brighton Cambridge Montessori School, 161 Garden Street, Cambridge Cape Cod Academy, Inc., 50 Osterville West Barnstable Road, Osterville Catholic Memorial School, 235 Baker Street, West Roxbury Diocese of Fall River (All Saints Catholic School 115 North Illinois Street New Bedford) Diocese of Fall River (Bishop Connolly High School 373 Elsbree Street Fall River) Diocese of Fall River (Bishop Feehan High School 70 Holcott Drive Attleboro) Diocese of Fall River (Bishop Stang High School 500 Slocum Road North Dartmouth) Diocese of Fall River (Espirito Santo Parochial School 143 Everett Street Fall River) Diocese of Fall River (Holy Name School 850 Pearce Street Fall River) Diocese of Fall River (Holy Trinity School 64 Lamphor Street Fall River) Diocese of Fall River (Our Lady of Lourdes School 52 First Street Taunton) Diocese of Fall River (St. Francis Xavier School 223 Main Street Acushnet) Diocese of Fall River (St. John Paul II High School Division 120 High School Road Hyannis) Diocese of Fall River (St. John Paul II Preparatory Division 33 Cross Street Hyannis) Diocese of Fall River (St. John the Evangelist School 13 Hodges Street Attleboro) Diocese of Fall River (St. Joseph's School 100 Spring Street Fairhaven) Diocese of Fall River (St. Mary Sacred Heart School 57 Richards Avenue North Attleboro) Diocese of Fall River (St. Mary's Catholic School 330 Pratt Street Mansfield) Diocese of Fall River (St. Michael School 209 Essex Street Fall River) Diocese of Fall River (St. Pius X School 321 Wood Road South Yarmouth) Diocese of Fall River (St. Stanislaus School 37 Rockland Street Fall River) Diocese of Fall River (St. Teresa of Calcutta School 180 Orchard Street New Bedford) Gann Academy-The New Jewish High School, 333 Forest Street, Waltham Gateway Access to Jewish Education, 333 Nahanton St, Newton Gateway (Jewish Community Day School, Watertown) Gateway (Solomon Schechter Day School, Newton) Holy Name Parish School, 535 W Roxbury Pkwy, West Roxbury Immaculate Conception School, 1 Washington Street, Newburyport Lawrence Catholic Academy, 101 Parker Street, Lawrence Lowell Catholic, 530 Stevens, Lowell Maimonides, 34 Philbrick Rd, Brookline Pope Francis Preparatory School, 134 Springfield Street, Chicopee Sacred Heart Elementary, 75 Commercial, Weymouth Saint Bridget School, 832 Worcester Rd, Framingham Saint Joan of Arc School, 587 Grattan Street, Chicopee Saint Michael School, 80 Maple Avenue, North Andover Shaloh House Day, 29 Chestnut Hill Avenue, Brighton St Anna School, 213 Lancaster St., Leominster St Bernard Elementary, 254 Summer Street, Fitchburg St Joseph Elementary, 90 Pickering, Needham St. Stanislaus School, 534 Front Street, Chicopee Striar Hebrew Academy, 100 Ames Street, Sharon The Learning Center for the Deaf School, 848 Central Street, Framingham The Rashi School, 8000 Great Meadow Road, Dedham Torah Academy Inc., 11 Williston Rd, Brookline Venerini Academy, 23 Edward, Worcester Other
Other Nonpublic School (Please Specify)
* must provide value
5.8) Name of Other
Submit one report per ______ , do not submit reports for individual schools.
* must provide value
GREENFIELD COMMONWEALTH VIRTUAL DISTRICT INSTITUTIONAL SCHOOLS OTHER TEC CONNECTIONS ACADEMY COMMONWEALTH VIRTUAL SCHOOL DISTRICT
6. If this report is for a school district but does not include data for all the schools in the district, please provide the name of the school or schools that are included in this report, followed by a list of the schools that are excluded from this report. A. Included schools: B. Excluded schools:
Identify which schools in your ______ are included in the data:
Identify which schools in your ______ are excluded from the data:
7. If data is from a School Union, please identify all districts included in the School Union data
8. Nonpublic school address:
10. Is your ______ funded through the Comprehensive School Health Services (CSHS) program?
* must provide value
Yes
No
10a. Which type of CSHS grant funding do you have?
Performance Measures vary by grant type. Your answer to this question will impact the calculation of Performance Measure targets.
* must provide value
Affiliated
Model
Nonpublic
11. What type of data do you wish to submit?
You will only see questions that are applicable to the data you are submitting.
* must provide value
Only BMI data
Only SBIRT data
Both BMI and SBIRT data and nothing else
CSHS program data (includes BMI, SBIRT, and other data only required of CSHS-funded districts or schools)
Annual Status Report
Comprehensive School Health Services Program
General Guidelines Public school districts: Submit only ONE report for the entire school district. (Do not submit a separate report for each school). This report should summarize the status of ALL the schools in the district funded through the CSHS grant. In most cases, this would include all schools in your Local Public School System and no others. Please add together numbers for all schools where necessary (Section I, for example) and enter only the district-wide totals. Grant recipients that include School Unions should preferably submit ONE report for all of the public schools covered by the grant. Nonpublic schools: Submit one report for each nonpublic school.
All grant recipients:
Except where noted, please answer all questions with information that is current as of THE LAST DAY OF THE SCHOOL YEAR. Students who have transferred out of the district as of the last day of the school year should not be included in this report, even if they were included in monthly reports. To ensure the accuracy and validity of your data, we strongly recommend that all school staff involved in the collection process maintain a program log for documenting information pertinent to this report. The deadline for submitting completed Status Reports to MDPH is July 15, 2023. For questions that pertain to descriptors or characteristics of: a) the students in your district or nonpublic school (number of students with asthma, for example) or b) the staff in your district or nonpublic school c) the features of your district or nonpublic school (number of schools with AEDs, for example), . . . answer questions with information that is current as of the last day of the school year. Those data should be a current snapshot of your district or nonpublic school, it is not cumulative (for example, do not count staff that worked for half the school year but are no longer working in your district or nonpublic school, and do not count students if they transferred out before the end of the school year). For questions that ask for a tally of events (number of procedures, screenings, office visits, etc.), include only data for those students that were enrolled at the end of the school year (if the student transferred out of the district/school, do not include their data.) For these students, the count should be cumulative for the entire school year: count events from the first day of the school year to the last day of the school year. Do not include events that occurred during the summer break. To save a copy for your records: print a pdf copy of each page of the report by right clicking and selecting "print".
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