2022-2023 SWITCH Registration

2022-2023 SWITCH Registration
Are you a new or returning school to SWITCH? *

New, this will be our first year! Returning, we are back for another year!
Name of School *
County *
School Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Building Level *

Elementary School (grades 4-5) Middle School (grades 6-8) Both (combination of grades across both levels)

Indicate which grades will be participating and how many classrooms and total number of students from each respective grade level. (Best practice recommends all classrooms in the grade level participate together.) *

	Participating	Total # of Classrooms	Estimated # of Total Students
4th
5th
6th
7th
8th

School Administrator Contact (principal of school building, superintendent, etc.) *

First Name Last Name
School Administrator Email *
example@example.com
Core Team Leader Contact (This is the lead school staff member who will coordinate the school core team.) *

First Name Last Name
Core Team Leader Email *
example@example.com

School Core Team Member Information: (List your main school team contact as the Core Team Leader. It is recommended to have at least 3 team members from various settings in the school. It is okay if you don't have them all confirmed yet, but please list those that you have identified so far.) *

	First Name	Last Name	Email	Role in School
Core Team Leader
Team Member #2
Team Member #3
Team Member #4
Team Member #5
Team Member #6

If there are additional team members, please put their information here:
There are a variety of SWITCH program offerings your school can opt into this year that will provide additional opportunities. Please select those that you'd be interested in and would like to be contacted with more information. This helps us have a better idea of how many supplies or financial assistance we'll need to fund to support the implementation of these experiences.

SWITCH Youth Ambassador Team: Engaging student leaders to introduce healthy habit activities with their peers. Soccer for Success for PE: This is a 10 lesson unit curriculum helping youth build essential character skills (teambuilding, goal setting, overcoming challenges, relationship building) through practicing the sport of soccer. SWITCH Cooking School: Would you have interest in offering a virtual family cooking series. Trained facilitators would Zoom with up to 8 families per month January-April. Shine Light on Depression: A mental well-being curriculum (3 lessons) to help students explore their mental health and the techniques in their toolbox to practice skills to address stress or strong emotions in a healthy way.
SWITCH is all about transforming the school wellness environment, which includes your School Wellness Policy. Please upload your school's wellness policy here. (Every school participating in the National School Lunch Program has a wellness policy. If you are not sure where to locate yours, please contact your school administrator). **Returning Schools: If you updated your School Wellness Policy this school year, please upload your most recent one on file.**

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