Title Subtitle School name Location
About Your School Details to include: General relevant info location system (e.g. government) age range of students (e.g. Prep – 12) No. staff No. students
About your Team Who was on your team How was the team assembled? How often did you meet? What enabled your team to work collaboratively and effectively with each other?
Diagnosis Phase
Identifying Opportunities for Growth Text Block
Data Collected Text Block
Needs Statement The needs statement – as already completed
Intervention Phase
The Intervention Please briefly describe the intervention you chose to run
Intervention Steps Please briefly describe how the intervention was implemented
Intervention Insights Please briefly describe challenges, solutions and noteworthy events or interactions which occurred as the result of the intervention.
Evaluation Phase
Evaluation Methodology Please describe how you implemented the evaluation
Data Collected Please describe the data that you collected
The Impact Please describe the impact of the program, as evaluated using the collected data.
Where to Next?
Next Steps Please describe where you are heading.
Thank you