Introduction

**Some people have been experiencing issues with this survey. If you would rather fill out a paper application, please e-mail Megan.Scott@maine.gov for a copy.**

The Tobacco and Substance Use Prevention and Control Program with the Maine Center for Disease Control and Prevention (MECDC), in partnership with the Maine Department of Education (Maine DOE) is seeking volunteer Maine schools interested in the second phase of piloting a social emotional learning program funded by a grant through MECDC.

Second Step is a research based social emotional learning (SEL) program for Pre-kindergarten through 8th grade students. The program’s goal is to nurture skill building and prevent problematic developmental behaviors that contribute to the development of substance use disorders. The selected schools will be provided with a 5-year curriculum license to implement Second Step.

To be considered for the pilot program, schools must meet predetermined criteria consisting of MIYHS participation, district wide implementation, location within a high need area, administration support and a sustainability plan. Additionally, schools will be required to participate in the evaluation activities of the project including providing information in a secure online reporting tool created and maintained by Public Consulting Group, Inc. (PCG) and participating in key informant interviews and focus groups.

This brief survey will take approximately 5 minutes and should be completed by the school administrator who will support implementation of the program. Thank you in advance for your interest and feedback!

If you encounter any problems filling out the survey, please contact Megan Scott at megan.scott@maine.gov or 287-5713. 

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* 1. Administrator name & contact information

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* 2. School District

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* 3. Name & location of school(s) in your district that would implement the program.

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* 4. Does your school participate in the Maine Integrated Youth Health Survey (MIYHS)?

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* 5. In which grades would you like to implement the Second Step curriculum?

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* 6. Please provide a description of the need for a SEL program in your school

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* 7. Please provide a sustainability plan in a timeline describing how the SEL program will be sustained at the end of five years.

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* 8. Do you have any comments, questions or feedback about implementing the Second Step program? 

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