II.	PREVENTING YOUTH INITIATION / PROMOTING YOUTH CESSATION

A.	SCHOOLS

Resources:   http://www.k12.wy.us/     
                     http://www.k12.wy.us/reports.asp 
                     https://wdesecure.k12.wy.us/public_ed/schools.html 

BACKGROUND

1.	Number of school districts in your county  							

2.	How many schools/students are in your county?
Complete Table II-2 (included at the end of this section) for each community in your county.
L	The Wyoming Department of Education website lists this information.

b)	Combine the information from each community worksheet to obtain school year 2002-03 county totals:

	Number of Schools
(in county)	Enrollment
(in county)	# of Adult Employees
(in county)	
High Schools				
 7 - 9 grade Schools				
7 - 8 grade Schools				
jr/sr high schools				
K - 12 schools				
Elementary Schools				
TOTALS				

POLICY / CURRICULUM

3.	List the schools that do have tobacco-free school policies.   How are students/staff informed of the policy?  To what extent  is the policy enforced?  What are the consequences for violation?  Are students offered or required to attend cessation or other tobacco prevention sessions?
L	Complete Table II-3 (included at the end of this section).

Tobacco-free school policy is defined for this assessment as one that:
1)	 prohibits tobacco use (includes spit tobacco) by all students, staff, and visitors in all areas of the school and on school property at all times, at all school-sponsored indoor and outdoor events, and in school owned or operated vehicles.  Additionally, all students are prohibited from possessing tobacco while on school property and at all school events;
2)	prohibits tobacco advertising on school property, at school events, and in school publications;
3)	has clear and enforceable disciplinary sanctions for violations of the policy.

4.	List the schools that have not  met the Wyoming Tobacco-free Schools of Excellence criteria and describe the barriers to enactment of this policy in each school. 
L	Complete Table II-4 .

5.	Which school districts have specific health education and prevention curricula that incorporate tobacco use prevention lessons?  Which grades are targeted by the program?  For each grade level targeted, how many hours are devoted to tobacco use prevention curricula?  For the grade levels targeted, what percent of students participate in the program?
L	Complete Table II-5 (included at the end of this section).

6.	Which schools have youth groups whose primary focus is tobacco use prevention?  Briefly describe the group’s tobacco use prevention activities and/or target population.  List the number of students participating in the group during the 2005-2006 school year  (attach additional page as needed).

School	Group Name	Activities &/or
Target Population	# of Members
(2005-2006)	

		

		

		

		

CESSATION / QUIT SMOKING

7.	Which schools, if any, provide on-site cessation services or actively refer a) students and/or b) teachers and other school staff to cessation services?  If services are offered, indicate the school name, whether the cessation service is offered onsite or offsite, student and/or school staff cessation program name, coordinator and phone number, and the number of students and/or school staff referred during the 2005-06 school year.  Describe the processes for referral to these services and attach a copy of any policies.   Describe problem solving to increase referral and attendance.

L	Complete Table II-7 

B. TOBACCO SALES TO MINORS / TOBACCO POSSESSION/ CESSATION

8.	Number of youth in your county arrested for Minor in Possession of Tobacco charge:

Year	# of Youth Cited	# of Youth who paid fines	# of THESE youth who attended Cessation class	# of THESE youth who participated in one or more Youth Tobacco Prevention Activity	
2006 (to date)					
2005					
2004					
2003					
Total					

9.	Does the court(s) in your county refer minors in possession of tobacco to a cessation program?
’	Yes			’	No

If “Yes” complete table below:

Year	Court Name	Cessation Program Name
(used as referral)	# of Youth Referred	# of Youth Who Quit Smoking	
2005	

				
2004

					
2003	

2002	

		Totals			

10.	Percent of minors in possession referred to cessation services by the court(s).  For each year, divide  number of youth referred (from question 9) by number of youth arrested (question 8) and then multiply by 100%:

2005 Percent Referred =					%
2004 Percent Referred =					%
2003 Percent Referred =					%

11.  Do any of the towns have local ordinances regarding the sell of tobacco to minors?  If so, please attach a copy of the law and briefly summarize here. 

12.  Do any of the towns have tobacco licensing for Retailers?  Please describe this process here and attach the corresponding ordinance or reference material.

 13.  OPERATION STOREFRONT

Please conduct the Operation Storefront project and attach results.

See: http://www.uwyo.edu/wysac/HealthEducation/Tobacco/docs/Storefront_2004.pdf