Kaiser Permanente Thriving Schools Action Plan GrantsIntroduction

Kaiser Permanente Thriving Schools (KP TS) is a multi-year, multi-strategy national initiative to promote wellness for students, staff and teachers in K-12 public schools using a variety of strategies. Kaiser Permanente and the Alliance for a Healthier Generation (HG) Healthy Schools Program are partnering to help schools create healthier school environments by expanding the Thriving Schools Program to hundreds more schools.

The purpose of the Kaiser Permanente Thriving Schools Action Plan Grants program is to provide grants ($1,000-$5,000) to schools to promote health and wellness policy, environment and systems change efforts.

Complete applications are due by 5pm Pacific Time on November 16, 2018.

Who is eligible:

Schools enrolled in/partnering with HG’s Healthy Schools Program in partnership with the Kaiser Permanente Thriving Schools program.

Schools/school districts that have been awarded grants in previous cycles may only apply in the current cycle if they have completed their grant activities AND completed the final on-line grant survey provided by Community Partners.

Guidelines:

The applicant must demonstrate how the grant will:

Support a Healthy Schools Program Action Plan action step (s). Promote sustainable changes within the topic areas below:

o Increase student physical activity during the school dayo Improve student participation in the school meal programo Increase access to healthy foods outside of the school meal program o Improve staff wellness

Change policy systems and environment to position health and wellness as an integral part of the school climate and culture.

Support implementation of local/district, state and federal school food and physical activity policies.

Grant funds may be used to support:

Programs addressing the following high impact strategies:o Physical Activity Strategies

Increase physical activity during daily recess in elementary schools Increase the proportion of PE classes where students spend at least 50% of class

time being moderately to vigorously active

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Increase minutes of weekly PE in elementary school Increase years of PE required in middle/high school Promote walking/biking to school Institute physical activity breaks in the classroom

o Nutrition Strategies Increase proportion of competitive foods/beverages sold in school meeting

USDA Smart Snacks in School standards Increase the availability of fruits and vegetables outside of the cafeteria Increase participation in the school breakfast and lunch programs Implement cafeteria alternatives designed to promote increased school meal

participation (kiosks, grab and go, reimbursable vending options, etc.)o Staff Wellness Strategies

Increase staff access to healthy food on school campuses Increase staff access to physical activity on school campuses Promote staff social emotional wellbeing

Equipment and training/professional development that will support a sustained change at the

school.

Need inspiration for creating a healthy school environment? Click here for a list of example

activities to implement the high impact strategies.

Grant funds are not allowed to support:

Salary support for any school employee. One time activities. Activities or items covered under the school’s general fund. Curricula. Bottled water. Requests for fitness monitors (e.g. Fitbit, Jawbone, pedometers). Incentives such as water bottles, t-shirts, or other incentive or promotional items.

Required Documentation:

Action Plan Grant Budget. Click here for the budget template. You must upload your Healthy Schools Program Action Plan for your school. If a school district is applying on behalf of more than one school, the school district must submit the Healthy Schools Program Action Plans for each school in one PDF document.

If an organization will serve as the fiscal agent (e.g. 501c3 related to the school such as PTA, school/district foundation):

IRS 501c3 Status Letter

If the school/school district will receive the funds, please attach ONE of the following documents:

A copy of the school/school district's current tax exempt determination letter from the Internal Revenue Service.

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A letter from the Chief Financial Officer or a Certified Public Accounting Firm, indicating that the school/school district has been granted tax exemption.

A copy of the statue or enabling legislation establishing the school/school district.

Grant Logistics:

Proposed range for grants: $1000 - $5000 (per school). Grant period: 10 months to spend grant Prefer to grant funds to a 501c3 related to the school (PTA, school/district foundation) or funds

can go directly to the school. A school district may apply for multiple schools within the district. Each school must have a

Healthy Schools Program Action Plan. The request must support a common Action Plan Action Step at all schools. If schools within a school district are working on different Action Steps, each school must submit a separate application.

Proposal must be supported by the school principal/administrator or school district leadership if submitting a proposal for more than one school.

Identify project lead and administrative lead (if different). Only one application per school/district per grant cycle. Schools/school districts that have been

awarded grants in previous cycles may only apply in the current cycle if they have completed their grant activities AND completed the final online grant survey provided by Community Partners.

The HG Program Manager for your school(s) must assist in the development of the application and review and approve the final proposal. Please start working with your Program Manager as soon as possible.

Preference will be given to schools/school districts that have not received funds in a previous grant cycle.

All grants will be administered by Community Partners, a partner organization with Kaiser Permanente and Ad Lucem Consulting.

If awarded a grant, Grantees will agree to: o Complete a survey describing how grant funds were used. o Submit photographs and accompanying signed releases for promotional and

informational materials, if requested. o Notify KP TS about any planned media (e.g. press releases, articles), acknowledge KP TS

in media, and share media with KP TS.o Show successes, if requested, to demonstrate progress made toward creating a healthy

school environment.

Complete applications are due by 5pm Pacific Time on November 16, 2018.

If you have any questions, please call Wendy Castillo, Community Partners program assistant, at (213) 346-3200 ext. 210 or wcastillo@communitypartners.org.

Grant Application Submission

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Prior to preparing your application, review the model application and budget carefully. We strongly recommend submitting your application before the due date to allow adequate time to access technical assistance if needed!

Please note: If the model application and budget links do not work, please copy and paste this URL into your browser: communitypartners.org/kaiser-permanente-thriving-schools-action-plan-grants-documents

All applications must be entered into the online application form.

As you fill out the online application, you will be able to save and return to it at a later time. Note: The link changes every time you save. You must save the unique link provided each time to take advantage of this feature.

We highly recommend that you download and complete the Word version of the application prior to going to the online form. Please observe the word limits and red asterisks denoting required questions. When online, please copy and paste your answers into the survey from the Word version.

Please complete this statement:* I am submitting a proposal for one school a school district

Note: Individual Schools or School Districts may apply.

School/School District Information

School Name

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(if applicable):

School District:*

Street Address: *

City: *

State: *

Zip: *

Phone Number: *

Will an organization serve as the fiscal agent if not the school or the school district itself (e.g. 501c3 related to the school such as PTA, school/district foundation)? *

Yes No

If yes, please provide us the following information below for the fiscal agent (all fields are required):

Organization Name: *

Street Address: *

City: *

State: *

Zip: *

Email: *

Phone Number: *

Note: You will need to attach a copy of the fiscal agent’s IRS 501c3 tax-exempt status letter at the end of the online application. *

If a school or school district will receive the funds and NOT a fiscal agent, please attach ONE of the following documents at the end of the online application: *

A copy of the school/school district’s current tax exempt determination letter from the Internal Revenue Service.

A letter from the Chief Financial Officer or a Certified Public Accounting Firm, indicating that the school/school district has been granted tax exemption.

A copy of the statue or enabling legislation establishing the school/school district.

To assure we have the necessary information if you are awarded a grant, please provide the name of the entity the check should be made out to including the tax identification number for that entity.

Make Check Payable to: *

Tax ID #: *

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Project Lead

Name: *

Title: *

Email: *

Phone Number: *

Will the project lead also be the fiscal/administrative lead? *

Yes No

If no, please provide us the contact information for the fiscal/administrative lead:

Name: *

Title: *

Email: *

Phone Number: *

School Principal or Other Administrator

Please submit the name of the school principal or other administrator (superintendent or other administrator if you are submitting an application as a school district) as an indication of their support and approval of this project.

Name: *

Title: *

Email: *

Phone Number: *

Data

If a school is applying, please enter the following data for the school:

Total Enrollment: * Enter a number only

Total Number of Staff and Teachers: * Enter a number only

% Eligible for Free and Reduced Lunch: * Enter a number only

Grades: * Example: K-6

If a school district is applying on behalf of more than one school, please provide aggregate data for the schools included in the application:

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Number of Schools: * Enter a number only

Please list the schools included in the

application. *

Example: ABC Elementary School, XYZ Middle

School, and Any Town High School

Total Enrollment: * Enter a number only

Total Number of Staff and Teachers: * Enter a number only

% Eligible for Free and Reduced Lunch: * Enter a number only

Grades: * Example: K-6

Grant Request

Grant awards are between $1,000 and $5,000 per school. School districts applying on behalf of more than one school should submit a total request for all schools combined. Grant funds can be used for, but not limited to, professional development, workshops for teachers and administrators, school nutrition programs, physical activity equipment, and more.

Sample Budgets:

When using the online form, you will need to upload the budget template at the end of the application and indicate the total amount requested. Please note: If the link does not work, please copy and paste this URL into your browser: http://communitypartners.org/kaiser-permanente-thriving-schools-action-plan-grants-documents

Make sure that your amount requested matches the budget you attach.

Amount Requested ($1,000 - $5,000 per school): * Enter a number only

Will your school/school district use other funds/in kind resources to implement this project? (Examples: USDA grants, Department of Education grants, foundation grant, teacher time, classroom space, contributions from local businesses, etc.) *

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Yes No

If yes, describe the source of those funds or in kind contributions: *

Word limit: 150

Has your school/school district ever received additional funding to address nutrition or physical activity? *

Yes No

If yes, please describe: *

Word limit: 250

Describe why this project or purchase is needed. If this application expands on a previous action plan grant(s), be sure to describe that here.*

Word limit: 250

Describe how you will use the requested funds.*

Word limit: 250

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List the specific step-by-step activities to be conducted (please use bullets): *

Word limit: 250

Please list the specific Action Step(s) in your Healthy Schools Program Action Plan(s) that this grant will support*

Word limit: 250

Note: You will be required to attach the Healthy Schools Program Action Plan(s) at the end of the online application. If you are a school district applying on behalf of more than one school, please consolidate all the Healthy Schools Program Action Plans into one PDF document and attach it on the last page of the online application.

How is the proposed project part of a larger effort to create a healthy environment at your school or school district? *

Word limit: 250

How many youth, parents, and/or teachers/staff will be impacted by the grant? Please be realistic in your estimates. Your proposed intervention may not impact all groups listed here.

Students: * Insert range (example: 50-100).

Parents: * Insert range (example: 50-100).

Teachers/Staff: * Insert range (example: 50-100).

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If applicable, which specific school/school district and community groups/populations will be served by the grant?

Word limit: 250

Please describe what you expect to change as a result of the grant.*

Examples:

The school wellness policy will include strict nutrition standards (e.g. food served at school events will adhere to the standards from now into the future.)

The school cafeteria will have adequate lighting and seating. Youth will advocate for community access to school grounds outside of school time. PE teachers will be trained to increase active time during PE.

#1* Word limit: 25

#2 Word limit: 25

#3 Word limit: 25

#4 Word limit: 25

#5 Word limit: 25

Kaiser Permanente wants to ensure that this funding promotes and sustains a healthy school environment beyond the grant period. List at least one way you will sustain your activities beyond the grant period.*

Examples:

Ongoing wellness committee carries out the wellness policy’s implementation. School principal commits to keeping playground open to students, families and communities

outside of school hours.

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School wellness champion will monitor school adherence to nutrition standards for events and celebrations

#1* Word limit: 25

#2 Word limit: 25

#3 Word limit: 25

#4 Word limit: 25

#5 Word limit: 25

How did you hear about this grant opportunity? (Check all that apply.) *

Email announcement HG Program Manager Kaiser Permanente representative Other: _______________________________________________________

Our HG Program Manager assisted in the development of this proposal (required) *

Yes No

Our HG Program Manager reviewed and approved the final proposal (required) *

Yes No

Please note: You will be asked to upload required documents at the very end of the online application form.

Please click here to go to the online application form. You will need to copy and paste your answers into the form. Please note: If the link does not work, please copy and paste this URL into your browser: http://communitypartners.formstack.com/forms/kaiser_thriving_schools_cycle8

A copy of your application will be sent to the project lead designated above as soon as you submit your application.

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