This addendum to Voluntary Guidelines for States: Development and Implementation of a School Environmental Health Program captures best practices and lessons learned from five state grantees who were awarded funding by the U.S. EPA to implement or enhance a state school environmental health program. This addendum walks through each of the six steps for establishing a school environmental health program and offers tips, strategies, and real-world examples to guide states and school decision-makers in adopting school environmental health programs, and to lend guidance for maintaining existing programs for years to come.

Click on the headings below to navigate through the document.

• Acknowledgements
• About the Addendum
• Background on the State Grantee Contributors
• Stepping through the Guidelines: Recommendations and Lessons Learned from the State Grantees
• Additional Resources
• Appendices: Tools for Developing and Implementing a State School Environmental Health Program