JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Healthy Schools Program Application
General Information
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name and email of the person applying
*
Your answer
Name of your school district
*
Your answer
Name of school building that is applying
*
Your answer
Name and email address of Superintendent
*
Your answer
Name and email address of Your building Principal
*
Your answer
School building address
*
Your answer
Grade levels found in your school building
*
Your answer
Free and Reduced Price Lunch Percentage
*
Your answer
Total number of students in your district
*
Your answer
Total number of students in your building
*
Your answer
Total number of staff in your building
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
