Preview the Success Story Application Form

1. It allows you to preview the information collected on the online form so you are familiar with what the process entails.
2. You can use it to fill out some or all of the information ahead of time so you can be more efficient in completing the online form.

This print version is very similar but not exactly the same as the form on the website. For example, the online form has edits to make sure that your information is complete prior to submitting the form. The website form automatically skips questions that are unnecessary based on your previous answers and provides other shortcuts, such as identifying the county in which your school/school district is located by clicking the county name.

There are two versions of the form-one for success stories achieved at the school level and one for those achieved at the school district level.

• School Level: Click here to view and/or download a print copy of the Success Story Application Form for schools.
• School District Level: Click here to view and/or download a print copy of the Success Story Application Form for school districts.

The Michigan Healthy School Success Story website is brought to you by American Cancer Society, Michigan Action for Healthy Kids, Michigan Department of Community Health, Michigan Department of Education, Michigan State University Extension,
and United Dairy Industry of Michigan