Application to Participate - Kids Healthy Outdoors Challenge

Generic Form

APPLICANT CONTACT INFORMATION

Note: Teachers who have participated in KHOC three or more years in the past are not eligible to apply this year, unless they are applying together with newer, eligible teachers from their school.

























ABOUT YOUR SCHOOL

For the most recently available school year, please report your school’s:



Breakdown of student body by Race and Ethnicity (should add up to 100%):









LANGUAGES


LOCATION

Rural
Urban
Suburban

Approximately how many students are in each of your applying classrooms this year?





TEACHER QUESTIONS

How many years have you been an educator? (Please provide a response for each Teacher).





How many years have you been a third grade teacher? (Please provide a response for each Teacher).





How experienced and comfortable are you in leading classroom activities outdoors? (Please check one for each Teacher.)

Very Comfortable
Somewhat Comfortable
Neutral
Somewhat Uncomfortable
Very Uncomfortable
Very Comfortable
Somewhat Comfortable
Neutral
Somewhat Uncomfortable
Very Uncomfortable
Very Comfortable
Somewhat Comfortable
Neutral
Somewhat Uncomfortable
Very Uncomfortable
Very Comfortable
Somewhat Comfortable
Neutral
Somewhat Uncomfortable
Very Uncomfortable

SCHOOL PARTICIPATION QUESTIONS

PREVIOUS PARTICIPATION

Please enter the name of all teachers who have previously participated in KHOC and the number of years they participated.





By checking this check box and submitting this application, you agree to meet the expectations for participation in KHOC.

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