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Wellness Policy Assessment Tool and Report Template 2025

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4.9 out of 5

41 votes

The document outlines the Wellness Policy Assessment Tool and Report Template, which is mandated by federal regulations for local education agencies (LEAs) participating in the National School Lunch Program. It requires LEAs to conduct a triennial assessment of their local school wellness policy, measuring compliance and progress towards wellness goals. The tool serves as both an assessment instrument and a report template, guiding LEAs in evaluating their policies on nutrition education, physical activity, and overall student wellness. It emphasizes public involvement, documentation, and the importance of creating a supportive environment for student health.

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Click ‘Get Form’ to open the Wellness Policy Assessment Tool and Report Template in our editor.
Begin by entering your LEA/District Name, Reporting Timeframe, and Reviewer(s) names at the top of the form. This information is crucial for tracking compliance.
In the left columns, indicate whether each listed goal or practice is included in your local school wellness policy. Pay special attention to bolded items as they are federally required.
In the right columns, assess the implementation status of each goal or practice at your schools. Use options like 'Yes', 'No', or 'Partially in Place' to provide a clear picture of compliance.
Utilize the notes sections provided to elaborate on any variations or concerns regarding individual school implementations, ensuring a comprehensive assessment.
Finally, summarize progress made towards achieving wellness policy goals in the designated area at the bottom of the form. This will help in future assessments and planning.

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Versions	Form popularity	Fillable & printable
2018	4.9 Satisfied (41 Votes)

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