HOM Registration K-12

Montana Harvest of the Month
K-12 School & Afterschool Program Registration

The Montana Harvest of the Month program is open to K-12 schools and afterschool programs in Montana. Please coordinate with your Harvest of the Month team at your school, district, or afterschool program to avoid duplicate registrations. One packet will be provided for each participating school and afterschool program site. For example, a school district that is registering three schools and one afterschool program can receive four packets. Additional posters are available for purchase at Montana State University Extension's publication store. Materials will be mailed to the address in this registration form (please use a school or afterschool program address, not a personal address).

A team is crucial for a successful implementation of the Harvest of the Month program and creates valuable connections within the school, district, and community. If you have not approached all the required members of your Harvest of the Month team (administrator, food service, and teacher) you may still register. Please be in touch with your team members as soon as possible. Anyone listed as a team member with contact information will receive monthly email Harvest of the Month updates. This will help remind your team of available resources and updates.

You can register multiple schools or afterschool program sites at the same time with this form. You will list each of the participating schools or afterschool program sites. This registration form collects one set of team members. If you wish to have different team members listed for each site, please complete a separate registration form per site. These individual school/program teams might have overlapping team members such as food service staff or administrator.

Prior to registering, you can learn the basics of Montana Harvest of the Month program with the handouts, short videos, and trainings posted on the site.

Note: If your site is already a registered site, you do not need to complete this form. Only complete this registration form for NEW sites. Existing sites register for the following school year by completing their End of Year Report each year.

If you have questions, please contact:
Aubree Roth
Montana Team Nutrition Program
aubree.roth@montana.edu
(406) 994-5996

Primary Contact First Name

The person who will be the primary contact for the school, district, and/or afterschool program should be listed here.

Primary Contact Last Name

Position of Affilitation

Email

Phone

Mailing Address 1
The materials should be mailed to the school of afterschool program, not a home address.

Mailing Address 2

City

Zip/Postal Code

Summer Phone

If different than above.

Summer Email

If different than above.

Sites

K-12 school(s)
Afterschool program(s)

List Participating Schools or Afterschool Programs

Below, individually list all schools or afterschool programs (sites) that are participating within this registration. You will receive one packet per site listed below. Only include schools and afterschool programs that will be participating in the Harvest of the Month program (including the educational and taste test components ) not just receiving a district-wide meal. Is this new to your school and you do not have all of the components or team members ready to go? No problem! Assemble your team, make a plan, and let us help you build a successful Harvest of the Month program at your school. You are welcome to register even if your site is still working out the details. Please contact Aubree Roth if you have questions.

Participating Site 1

Participating Site 2

Participating Site 3

Participating Site 4

Participating Site 5

Participating Site 6

Participating Site 7

Participating Site 8

Participating Site 9

Participating Site 10

Administrator

Name

Email

Has this team member committed?

Teacher or Afterschool Program Coordinator/Educator

Name

Email

Has this team member committed?

School Food Service Staff or Manager Name

Name

Email

Has this team member committed?

Other Team Member
We encourage you to include others on your team such as parents, community organizations, SNAP-ed educators, Extension Agents, etc. These individuals are often very helpful in conducting taste tests and educational activities or can help promote your program.

Name

Other Team Member Affiliation or Role

Email

Additional Team Member 1
List any additional team members here especially if registering multiple schools or afterschool program sites. Any team members listed will receive HOM communications. You can add or update team members by contacting Aubree Roth.

Name

Email

Additional Team Member 2

Name

Email

Additional Team Member 3

Name

Email

Additional Team Member 4

Name

Email

Additional Team Member 5

Name

Email

Site Expectations

By registering your team is pledging to all the expectations listed below. Please check all boxes. If your school struggles with any of these expectations our team is here to help! Remember, starting small and conducting quick activities such as reading the item's fun facts each month in a classroom is a great start!

Serve the Harvest of the Month item in at least one school meal or snack during the month.
Conduct at least one educational activity regarding the Harvest of the Month item each month.
Conduct at least one taste test (in classroom or cafeteria) with Harvest of the Month item each month.
Use the Harvest of the Month material and display visible locations.
Participate in evaluations.
Attend an online (archived or live) or in-person training (highly recommended)

Do you have funding available to support in-class activities and taste tests?

Pilot sites estimated taste testing and an activity costs between $5-$15. Participating in the Harvest of the Month program is free of charge (for this year, subject to change in the future). However, schools and afterschool programs will purchase their own supplies and food for educational activities and meals or snacks.

Yes
No

Do you have any questions or anticipate any challenges?