LOGIC MODEL TEMPLATE

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Working On Wellness - Policy Implementation Plan Category: Nutrition Nutrition Education Physical Activity Sub-category: ____________________________________ Grade Level (Check all that apply): Elementary Middle School High School Guideline Number: _______ Text: __________________________________________________________________________________ _______________________________________________________________________________________________________________ Resources Required: _____________________________________________________________________________________________ _______________________________________________________________________________________________________________ Expected Outcome(s): ____________________________________________________________________________________________ _______________________________________________________________________________________________________________ Action Steps Begin & End Dates Responsible Person(s) or Group Measures of Success Action Steps Begin & End Dates Responsible Person(s) or Group Measures of Success

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