Health and Nutrition Section

Community Involvement Assessment

Notice: Participation in the Green & Healthy Schools program is completely voluntary. To apply for desired state recognition in one or more topic areas, provide complete information as requested on this form. Names of participating schools will be posted on the Green & Healthy Schools website and information about implemented school practices may be used to promote healthy and environmentally sound behaviors and educate students. Wisconsin Open Records Law requires the Department to provide records, including personal information, upon request [ss. 19.31-19.39, Stats]. This form is prepared as part of the Department’s policy on education as authorized by NR 1.70 (3) of the Wisconsin Administrative Code.

This section looks at the connections between your school and community. It includes how the students

reach out to the community to learn and provide services, and how community members contribute to the school. The Green & Healthy Team should investigate these topics with other teachers and administrators.

School Name: ______Date: ______

Conducted By:

Please include administrators, teachers, school staff, students and parents involved in this assessment.

Name Title and/or Grade Level

______

School Population:

Students: ______Staff: ______

A. Community Partnerships

Select the topic areas below where your school has active community partners in and briefly

describe what the partnership is and what impacts it has:

c Energy - Description:

c Environmental & Sustainability Education - Description:

c Environmental Health - Description:

c Health & Wellness - Description:

c Recycling & Waste Management - Description:

c School Site - Description:

c Transportation - Description:

c Water - Description:

B. Student Engagement

Select the topic areas below where your school’s students actively participate in civic/community

engagement projects relating to environmental and sustainability and briefly describe the projects:

cEnergy - Description:

cEnvironmental & Sustainability Education - Description:

cEnvironmental Health - Description:

cHealth & Wellness - Description:

cRecycling & Waste Management - Description:

cSchool Site - Description:

cTransportation - Description:

cWater - Description:

C. Staff Contributions

Select the topic areas below where your school’s staff actively contribute to the community-based

projects of local organizations as representatives of the school and describe the projects:

cEnergy - Description:

cEnvironmental & Sustainability Education - Description:

cEnvironmental Health - Description:

cHealth & Wellness - Description:

cRecycling & Waste Management - Description:

cSchool Site - Description:

cTransportation - Description:

cWater - Description:

D. Community Support

Describe how businesses, government agencies, environmental/nature centers, local hospitals/

clinics, other schools and other civic/community groups actively and regularly support students and

teachers on safety, health, sustainability, or environmental learning projects:

D. Action Plan

Based on the information you found out from this assessment, what recommendations do you have to improve the school’s community involvement? Use the chart on page 7 to brainstorm and organize your ideas for action.

Green & Healthy Schools Wisconsin – Community Involvement Focus Area Assessment – last updated: 3/2015

Community Involvement Assessment: Ideas for Action

Based on the information you gathered from the your Assessment, what action ideas do you have increase community involvement and partnerships at your school? Use this sheet to jot down your ideas.

Section / General Ideas / Classroom Connections/ Lesson Plan Ideas / Community Involvement/ Activity Ideas / Outside Sources (organizations, community members, professionals)
A. School Buildings
B. School Grounds
C. Curriculum and Community

Green & Healthy Schools Wisconsin – Community Involvement Focus Area Assessment – last updated: 3/2015

Please save a copy of this Assessment for your records.

For any questions regarding Green and Healthy Schools Wisconsin, please feel free to contact us:

Wisconsin Department of Natural Resources

Attn. Green & Healthy Schools Wisconsin – WA/5

P.O. Box 7921

Madison, WI 53707-7921

Phone: (608) 267-7622

Fax: (608) 267-2768

e-mail:

Green & Healthy Schools Wisconsin – Community Involvement Focus Area Assessment – last updated: 3/2015