SRTS Mecklenburg Progress Report

This form will track your progress through the SRTS Mecklenburg County Partnership Program.

Fill out this form with your school's current activities related to walking or rolling to school.
Email Laura.Thomason@MeckNC.gov to ensure your progress is measured.
Return to this form when you have updates to your school's activities.

Below you'll be asked to simply check all activities and intiatives that apply to your school. Laura Thomason will reach out via email to let you know your partnership status shortly. Thank you for your interest in joining or advancing your partnership level. We're glad to have you as a partner!

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* 1. School Name

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* 2. Address

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* 3. School Contact Name

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* 4. School Contact Email

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* 5. School Contact Phone Number

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* 6. Current Partnership Level

Bronze - New Partner

Silver

Gold

Platinum

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* 7. Bronze Activities - Check all that apply

We have at least one School Champion (parent, teacher, or community member interested in leading the initiative)

Hosted your first event focused on being active on the way to, from, or at school (within the past 6 months)

Briefly describe your first event:

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* 8. Silver Activities - Check all that apply

Host National Bike to School/Walk to School Day participant within the past 1 year

Host an annual bike/pedestrian safety event (bike skills clinic, bike rodeo, parking lot safety lesson, etc.)

Have bike, skateboard, or scooter storage options available in a safe, visible place

Collected student travel tally data in the past year with plans to continue at least annually

If you have another activity you think should be considered, please briefly describe:

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* 9. Gold Activities - Check all that apply

Implement a school-wide early dismissal policy allowing students walking/biking to leave at least 5 minutes early

Conduct a walkability or bikeability safety audit within the past two years (Laura will provide resources)

Host a walking/bicycling promotion event or challenge at least four times per year

Teach approved pedestrian/bike safety lesson(s) at any grade-level

If you have a crossing guard, establish a Crossing Guard Appreciation Day

Using participation counts, show that you've had increased participation in an existing biking or walking event

Please provide brief details on your activities (i.e. type of event/challenge)

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* 10. Platinum Activities - Check all that apply

Adopt a school-wide transportation or wellness policy to formally support families walking or biking to school when possible

Work with SRTS Coordinator to develop a SRTS School Plan detailing school goals, current opportunities, and room for growth

Establish a permanent SRTS Champion position within the PTO/PTA, School Leadership Committee, or other organization

If you have another activity that you think should be considered, please briefly describe:

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* 11. Do you know about how many students currently walk or bike to school each day at your school?

Estimated number of students who walk or bike daily

Estimated number of students enrolled at school