Applicant School Name

Contact Name    (e.g. Joon Svanström)
Position (e.g. Headmistress)  Number of Students    Faculty & Staff  
Mailing Address1
Mailing Address 2
Postal Code City State/Province
Country
Visiting/Physical Address 1
Visiting/Physical Address 2
Postal Code City2 State/Prov
E-mail
Secondary E-mail
Telephone Country Code + #include city/area code
FAX CC+ # Mobile

School Type (Mark as many as apply):
Pre-K/Kindergarten  Primary (years 1-5)  Middle/Late Primary (years 6-7,8,9)
Secondary School / High School (years 9-12, ages up to 16 in Europe)
Upper Secondary School College/Technical School University
Other- define

With as much detail, supporting documents, photos, information, research, data and analysis as possible please describe how your school is achieving each of the Indicators below.  There are text fields for long descriptive answers and file upload buttons for your use.

Indicator 1: An infrastructure based on partnership and collaborations, governed by a group of teachers, pupils, technical staff and parents that is responsible for safety promotion in their school; the group should be chaired by a School Board (representative of school policy governance body) representative, with the Headmaster as a co-chair (hereinafter the Safe School Committee);

Indicator 1 Text:

Indicator 1Files:

Indicator 2: Safe School policies decided by the Safe School Committee and Community Council in a Safe Community setting;
Indicator 2 Text:
Indicator 2 Files:

Indicator 3: Long-term, sustainable, operational school programs covering both genders and all ages, environments, and situations;
Indicator 3 Text:
Indicator 3 Files:

Indicator 4:  Programs that target high-risk groups and environments, and programs that promote safety for vulnerable groups;
Indicator 4 Text:
Indicator 4 Files:

Indicator 5:Programs that document the frequency and causes of injuries – both un-intentional (accidents) and intentional (violence and self-directed);
Indicator 5 Text:
Indicator 5 Files:

Indicator 6: Evaluation measures to assess school policies, programs, processes and the effects of change;
Indicator 6 Text:
Indicator 6 Files:

Indicator 7: Ongoing participation in Safe Schools networks – at community, national and international levels.
Indicator 7 Text:
Indicator 7 Files:

Thank you for filling out your application/ pre-application form.  After you click the submit button below, the International Safe Schools Program will review your documents and contact you with three days.  If you have not heard within that time, please send an e-mail to mlv@intlsafeschools.org to check to see that your application was received.