Promoting Adolescent Health and School Success Fund Code 649 FY16 Grant Assurances The school district agrees to: _______ designate a team-lead who is responsible for ensuring all aspects of the grant are fulfilled. _______ sustain a school health advisory committee or subcommittee to carry out grant activities. _______ allow the appropriate staff to attend trainings and TA sessions sponsored by the Departments of Elementary and Secondary Education. _______ allow designated staff to participate in summer meetings with the TA and PD providers. _______ participate in all program evaluation activities. _______ participate in the Massachusetts School Health Profiles Survey _______ submit semi-annual reports on district progress due in February and August. Signature of Staff Person Applying to be the team lead for Adolescent Health Program Date Signature of Superintendent Date