2008 IPM Pride Award Application

If applicable, please select any additional school-based federal or state voluntary projects or programs in which your school district participates.

If applicable, please list any community partners or other organizations that have assisted you in implementing your IPM program.

1. Please define IPM.

2. Is there an IPM policy statement on file at your school? Yes No

A. Has this policy been reviewed and passed by the School Board? Yes No

If yes, when?

B. Does the IPM Policy have a statement about monitoring? Yes No

3. Does the IPM Policy statement identify objectives to conduct pest control and pesticide risk reduction? Yes No

Please attach a copy of your IPM policy. (Label as attachment A)

4. How has your IPM program impacted your school district? (Items that could have been affected are pest problems, complaints,budget, chemical use/reduction, etc.)

5. Overall how effective do you consider your school district is in the following areas? (PLEASE CHECK THE SINGLE BESTRESPONSE FOR EACH STATEMENT)

A. Communication among district staff on IPM issues

B. Use of pest monitoring methods

C. Overall reduction of exposure to pesticides

D. Training opportunities for district staff in
pest management

E. Contracting procedures for selecting pest
control services

6. Which of the following best describes your school district's use of outside contractors for pest management services? (PLEASE CHECK THE SINGLE BEST RESPONSE)

a) ALL PEST MANAGEMENT PERFORMED BY CONTRACTORS
b) SOME PEST MANAGEMENT PERFORMED BY CONTRACTORS
c) PEST MANAGEMENT PERFORMED ONLY BY DISTRICT EMPLOYEES

7. If some or all of your pest control activities are performed by outside contractors, what type(s) of pest control services are typically performed in your district by these contractors? (PLEASE CHECK ALL THAT APPLY)

TERMITE CONTROL
FOOD SERVICE AREA PEST CONTROL
GENERAL INDOOR PEST CONTROL
BUILDING PERIMETER (OUTSIDE) PEST CONTROL
GROUNDS INSECT CONTROL
GROUNDS WEED CONTROL
OTHER (Please explain)

8. How often are pesticides applied in your school district? (Please check the single best response) Never
As needed
Monthly
Quarterly
Annually
Other (please specify)

9. To what locations were herbicides applied to your school district over the past twelve (12) months? (PLEASE CHECK ALL THAT APPLY)

Athletic fields
Playgrounds
High visibility areas near school entrances
High visibility areas near administrative buildings
Fence lines
Pavement cracks
Other

10. Describe your district's system of reporting a potential pest problem. (Work orders, pest sighting log, email, etc)

11. Record keeping is an important aspect of your IPM program. Please attach copies of a typical indoor application and an out-door application report form. (Attach copies of application use record labels as attachments B) [These records should be reflective of applications made by in-house staff (if applicable) and outside pest control contractors (if applicable)].

12. Describe a recent pest problem that you feel exemplifies your district's approach to IPM. Include details about how your district responded to the problem from start to finish. (Attach any appropriate documentation-pest sighting log or work order,any non-chemical control measures-documented, pesticide application use records, posting and/or notification, any evaluation activities or follow up to the situation.) (Label as attachment C)

13. Does your district periodically conduct comprehensive inspections of all building? If so, please describe how often inspections are made, by whom they are made and how the information is used. (These inspections should be identifying potential pest problems, including cracks, crevices, and other pest entryways.)

14. Describe your district's standard procedure for notifying parents about pesticide applications. Attach examples of notification documents as appropriate. (Posters, section from student handbook, etc.) (Label as attachment D)

15. Describe your district's procedures for notifying teachers, custodians, food service workers, and other staff members when pesticide applications are made or other IPM requirements.

16. How often do key staff members (IPM Coordinator, pest control applicators, etc.) participate in IPM training's? List type of training and staff who have attended in the past two years.

17. How often do you (IMP Coordinator) conduct in-house training for maintenance and grounds workers?

18. Describe how your superintendent, principles, teachers, custodians, and other staff are involved with your IPM program?

What special efforts, if any, were made to enhance participation by school stakeholders?

Please email the following items to schoolipm@tamu.edu to complete your application process:

• Referring to Question 3: Please attach a copy of your IPM policy. (Label as attachment A)
• Referring to Question 11: Recordkeeping is an important aspect of your IPM program. Please attach copies of a typical indoor application and an out-door application report form. (Attach copies of application use record labels as attachments B) [These records should be reflective of applications made by in-house staff (if applicable) and outside pest control contractors (if applicable)].
• Referring to Question 12: (Attach any appropriate documentation-pest sighting log or work order, any non-chemical control measures-documented, pesticide application use records, posting and/or notification, any evaluation activities or follow up to the situation.) (Label as attachment C)
• Referring to Question 14: (Posters, section from student handbook, etc.) (Label as attachment D)