Health Challenge Course: Submitting Documentation

Submit Documentation for Modules 2, 3, and 4 according to the instructions listed on this sheet.

Module 2 – Social Health, Physical Health, Mental Health and Nutrition
Place the following in an envelope: Health Risk Analysis paper
and
Completed Personal Health Plan Template with doctor or school nurse signature

Module 3 – Consumer Health
Community Service:
SHOC Student Record with SHOC coordinator signature
or
Informal Interview:
• Completed Informational Interview Questions
• Completed Student Reflection Sheet

Module 4 – Safe Living and Emergency Response 
Valid Adult CPR and/or First Aid Card (AHA, Red Cross, Medic First)
Seal envelope, write your name clearly on the outside and deliver as follows:
• Hand deliver by 2:30 p.m. to the teacher at your high school as listed below
or
• Send via USPS. Be sure your envelope is post marked by deadline date or earlier

Module Submisstion Checklist Sheet