2024-25 School Partnership Application

ABOUT YOUR SCHOOL
Primary Contact*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Title*
What role do you play in making budgetary decisions?*
HIDDEN

New Team
School Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Levels Served*

Pre-KKindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th grade
Current Enrollment*
Genders Served*
School Type*
Percentage of students that qualify for Free/Reduced-Price Meals*
Percentage of students receiving financial aid*
Percentage of students who are English Language Learners*

Please share approximate racial/ethnic demographics of your student body.*

	Approx. % of Student Body
Asian/Pacific Islander/Asian American
Black/African American
Latino/a/x or Hispanic
Middle Eastern
Multiracial
Native American / Indigenous
White

ABOUT YOUR CHALLENGE SUCCESS TEAM
If you serve both middle and high school students, please indicate which division you intend to participate in the partnership.
If accepted into the program, your school will receive a Letter of Agreement that outlines the scope of work and terms of payment as well as an invoice. Please indicate below who should receive these documents.
Signatory for Letter of Agreement*

First NameLast Name
Signatory Email*
example@example.com
Payor of Invoice

First NameLast Name
Payor Email
example@example.com
SCHOOL CHANGE WORK

Please indicate any efforts your school has made to address student well-being, belonging, and engagement.

	Unsure/Not Started	In Progress	Completed
Created/modified policies to improve school schedules
Created/modified policies to improve pedagogy
Created/modified policies to improve assessment
Created/modified policies to improve school climate
Created/modified policies to provide education for families and students around student well-being, belonging, and engagement
Created/modified policies and practices to increase student voice/agency
Collected data about well-being, belonging, and engagement (surveys, focus groups, etc.)
Offered opportunities for families and students to advocate for changes within the school
Held professional development on student well-being, belonging, or engagement

Describe your school's interest in partnering with Challenge Success. Specifically, what are the opportunities and/or challenges that you hope to address with the support of Challenge Success?*
Please describe how a partnership with Challenge Success fits within the overall strategic plan or existing initiatives at your school.*
OPTIONAL: Anything else you would like to share?
Upon receipt of your application, a member of the Challenge Success team will reach out to schedule a call. Thank you for your interest!
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