Promoting Adolescent Health and School Success
Fund Code 648 FY 15
Grant Assurances
The school district agrees to:
_______
designate a team-lead who is responsible for ensuring all aspects of the grant
are fulfilled.
_______
submit a detailed year 2 plan by September 15, 2014
_______
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.
CDC’s evaluation requirements for continued funding include:
_______
participate in the Massachusetts Youth Risk Behavior Survey, if selected
_______
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