School Activity Semester Report

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School Activity Semester Report

Name of Person Completing this Report
Affiliated Organization
Identify organization of report preparer. If report is prepared by the actual school partner, please select "SCHOOL"
School Name (or Name of Community Center for School Classes)*

Please include the name of the school or the community center where school children take CHEF classes.
School District*
Identify School District or Pre-K 4 SA affiliation. If private school, please select "other."
School Demographics and Economic Indicators
Is this school a Title I School?
Percent of Students Classified as Minority

Minority is defined as Hispanic, Black or African American, Asian, American Indian, Alaska Native, native Hawaiian or Other Pacific Islander.
Percent of Students Classified as "At Risk"
Percentage of Students Classified as "Economically Disadvantaged"
CHEF Program Logistics
Report Semester*
Start Date*
MM slash DD slash YYYY

Anticipated date of First CHEF Class of Semester
End Date*
MM slash DD slash YYYY

Anticipated last CHEF class of the semester

Number of CHEF Students by Grade (K - 12)*

Grade	Number of Students

Total number of students enrolled in CHEF class by grade - include grades K - 12.

Time of Day Class is Offered
Class Format*
Number of CHEF Lessons*

Number of CHEF Lessons you plan to teach
Total Hands-On Encounters*

If class format is hands-on, calculate number of students multiplied by number of hands-on lessons - enter zero if not applicable.
Total Demo Encounters*

If class format is demonstration, calculate number of students multiplied by number of demonstration lessons - enter zero if not applicable.
CHEF Partners Supporting Program
- San Antonio Food Bank
- Metro Health Healthy Neighborhoods
- Boys and Girls Club of San Antonio
- YMCA of Greater San Antonio
- School Staff
- Culinary Institute of America (CIA)
- Other
Identify any CHEF partners supporting these classes. Select all that apply.
Other:
Comments/Notes on Data or Semester

School Activity Semester Report

School Demographics and Economic Indicators

CHEF Program Logistics