Healthier Generation Support Referral Application

You can initiate adoption of resources and support by referring districts to support offered by the Alliance for a Healthier Generation.

Your Contact Information
Your Role
District or School Details
Would you like to refer a district or school?
Please provide information for the organization you wish to refer.
 
District or School Contact Information
Type of last touchpoint
Please share any information that would be helpful for Healthier Generation staff to know; such as district or school goals or priorities related to TSIA or RISE index self-assessment topic areas (i.e. Staff well-being, social emotional health, nutrition and food Access, staff well-being, etc), past successes or challenges, or current related initiatives.
Support Model
You would like to provide an immediate hand off to Healthier Generation staff to provide technical assistance to the district or school.
You would like to provide initial technical assistance to the district or school until they have completed the RISE Index self-assessment and are ready to begin the next step of creating an action plan.
You would like to collaborate with Healthier Generation staff as you provide technical assistance to the district or school throughout participation with Healthier Generation resources and supports funded by Kaiser Permanente.
Select the stages that best describes the district or school’s current engagement with Healthier Generation:
Select all that apply.