H2 Form

Here is The second form in the Harwood change process.

(See Decision Making Process at Harwood for more info)

Harwood Union Middle/High School • Action-Plan Proposal H-2

Title of Proposed Action-Plan:

Date of submission:

Name of Champions:

Email/Phone of champions:

Other group members:

Describe in one sentence the goal of the proposed change.

What evidence demonstrates that this change is necessary and will be effective if implemented?

How will be affected by this action plan and how?

What training will be needed for students, staff, or administration to carry out this proposed action plan?

Activity to meet goal- be very specific / People responsible / Cost / Funding Source / Deadline

1.

2.

3.

4.

5.

Total Cost:

Involves policy, budget, personnel changes, or curriculum? Yes or No.

Approval by Student Government

Name Signature Date

Approval by Department Heads

Name Signature Date

You can also download this form at http://www.harwood.org/index.php?page=decision-making