Wellness Forms

Screening Forms

Physician Screening Form (Manual Submission Form) – Accepted from September 1, 2019 – August 31, 2020 (for 2019/2020 school year)

Please note if using this option – the following requirements are needed for this form to be considered complete and processed

1.  Members must complete all fields.

2.  Members must sign the consent.

Individual School Wellness Grants

School Wellness Grant Information Sheet – All locations with 10 or more full time staff can apply for a $500 wellness grant for their location to put toward wellness activities for their staff.

Individual School Wellness Grant Application

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