Application for MTSS for Staff Wellbeing Learning Cohort 2024-25 Survey

1.Contact information:

Name

Title

District

City

Email Address

2.District Low Income Rate

What is your districts Free and Reduced Meal rate? If 50% or higher skip to "Number of employees in district" as next question

Number of schools

Number of schools with free and reduced meal rates 50% or higher

3.Employee Demographics (approximate is OK)

# of employees in district

% Black/African American Staff

% Indigenous, Alaskan Native or Native American Staff

% Hispanic and/or LatinX Staff

% Asian and/or Pacific Islander Staff

% White non, Hispanic Staff

% Bi-racial, % Other or % Race Unknown Staff (please specify)

4.Is there any additional information you'd like to share about the data entered in the racial breakdown of your staff teams?

5.Why is your district interested in joining this cohort?

6.How would you describe the buy-in or support of your district administrators for your participation in this cohort and/or workforce wellness efforts?

7.Does your district have a Workforce Wellness Committee?

Yes

No

Unsure

If "yes", please describe how often the team meets and the diversity of staffing. If "no", please share the plan to have this in place by September 28, 2024 (600 characters or less).

8.Does your district implement MTSS as a framework for student academic or emotional support?

Yes

No

Unsure

Comments:

9.Does your district formally gather staff input on policies and practices related to staff wellbeing?

Yes

No

Unsure

If yes, please describe frequency and tools used. If no, please describe barriers and plans to gather staff input for this project (600 characters or less):

11.In 1200 characters or less, please share the nature of any partnerships and/or plans to do so:

12.What challenges do you anticipate in being able to meet the expectations and desired outcomes of the COP? Consider the following: Establishing a district level K-12 workforce wellness team by 9/30/23, prioritizing regular attendance at cohort sessions, completing team-based homework between sessions, completing the WA Workforce Secondary Traumatic Stress Assessment or the Cultivating Staff Wellbeing Assessment (each is about 14 questions) by the November session, applying a MTSS framework to staff wellbeing.

13.What policies do you have in place to support staff wellbeing?

WSSDA Model policy 5515: Workforce Secondary Traumatic Stress

Staff Wellbeing is included in our district strategic plan

At least one school in our district includes staff wellbeing as part of their School Improvement Plan

Other (please specify)