Overview
Sites
Data
Grant

UCF-CERTIFIED COMMUNITY PARTNERSHIP SCHOOLS

SCHOOL/DISTRICT

HEALTHCARE PROVIDER

NONPROFIT

UNIVERSITY/COLLEGE

OTHER PARTNERS

EVANS HIGH
Orlando, FL Flagship School/Orange County Public Schools

Orange Blossom Family Health

Children’s Home Society of Florida*

University of Central Florida

C.A. WEIS ELEMENTARY
Pensacola, FL/Escambia County School District

Community Health of Northwest Florida

Children’s Home Society of Florida*

University of West Florida

ENDEAVOUR ELEMENTARY
Cocoa, FL/Brevard County Public Schools

Brevard Health Alliance

Children’s Home Society of Florida*

Eastern Florida State College University of Central Florida

City of Cocoa

GULFSIDE ELEMENTARY
Holiday, FL/Pasco County Schools

Premier Community HealthCare, Florida Department of Health in Pasco County, BayCare

Youth and Family Alternatives, Inc.*

University of South Florida

YMCA of the Suncoast and Metropolitan Ministries

OCPS ACADEMIC CENTER FOR EXCELLENCE
Orlando, FL/Orange County Public Schools

Orange Blossom Family Health

Children’s Home Society of Florida*

University of Central Florida, Valencia College

Boys & Girls Club Harris Rosen Foundation

SOUTH WOODS ELEMENTARY
Elkton, FL/St. Johns County School District

Flagler Health+

Children’s Home Society of Florida*

St. John’s River State College

EDWARD H. WHITE ACADEMY OF LEADERSHIP
Jacksonville, FL/Duval County School District

Agape Community

Children’s Home Society of Florida*

University of North Florida, Florida State College of Jacksonville

SULPHUR SPRINGS
K–8 Tampa, FL/Hillsborough County School District

Tampa Family Health Centers

Tampa Metropolitan Area YMCA*

University of South Florida

Sulphur Springs Neighborhood of Promise

WEBSTER ELEMENTARY
St. Augustine, FL/St. Johns County School District

Flagler Health+

Children’s Home Society of Florida*

St. John’s River State College

MORT ELEMENTARY
Tampa, FL/Hillsborough County Public Schools

Tampa Family Health Centers

Children’s Home Society of Florida*

University of South Florida

Tampa Innovation Place University Area Community Development Corporation

WILKINSON JUNIOR HIGH (7–8)
Middleburg, FL/Clay County School District

Baptist Health/Wolfson Children’s Hospital

Children’s Home Society of Florida*

St. John’s River State College

SABAL PALM ELEMENTARY
Tallahassee, FL/Leon County School District

Florida State University Primary Health™

Children’s Home Society of Florida*

Florida A&M University

KEYSTONE HEIGHTS JUNIOR/SENIOR HIGH
Keystone Heights, FL/Clay County School District

Aza Health

Children’s Home Society of Florida*

Santa Fe College

CRYSTAL LAKE ELEMENTARY SCHOOL
Lakeland, FL/Polk County Public Schools

Central Florida Health Care

Heartland for Children*

Southeastern University

United Way of Central Florida

HOWARD BISHOP MIDDLE
Gainesville, FL/Alachua County School District

Alachua County Health Department

Children’s Home Society of Florida*

Santa Fe College, University of Florida

MIAMI SOUTHRIDGE SENIOR HIGH
Miami, FL/Miami-Dade County Public Schools

Community Health of South Florida

Children’s Home Society of Florida*

Florida International University

ARTHUR & POLLY MAYS CONSERVATORY OF THE ARTS
Miami, FL/Miami-Dade County Public Schools

Nicklaus Children’s Hospital

Children’s Home Society of Florida*

Florida International University

HOMESTEAD MIDDLE
Homestead, FL/Miami-Dade County Public Schools

Community Health of South Florida

Children’s Home Society of Florida*

Florida International University

IMPLEMENTATION SITES: COMMUNITY PARTNERSHIP SCHOOLS

COHORT 2

SCHOOL/DISTRICT

HEALTHCARE PROVIDER

NONPROFIT

UNIVERSITY/COLLEGE

OTHER PARTNERS

COLLEGE PARK ELEMENTARY
Ocala, FL/Marion County Public Schools

Ocala Health

United Way of Marion County*

College of Central Florida

Public Education Foundation of Marion County

DODGERTOWN ELEMENTARY
Vero Beach, FL/School District of Indian River County

Treasure Coast Community Health

Children’s Home Society of Florida*

Indian River State College

ECCLESTON ELEMENTARY SCHOOL
Orlando, FL/Orange County Public Schools

Orange Blossom Family Health

Children’s Home Society of Florida*

University of Central Florida

Second Harvest Food Bank of Central Florida

GULFSTREAM ACADEMY AND EARLY LEARNING CENTER
Hallandale Beach, FL/Broward County Public Schools

Memorial Healthcare System

United Way of Broward County*

Broward College

Early Learning Coalition of Broward County, Hispanic Unity of Florida

FRANKLIN PARK ELEMENTARY
Ft. Myers, FL/School District of Lee County

Lee Health

United Way of Lee, Hendry, Glades and Okeechobee*

Florida Gulf Coast University

JONES HIGH
Orlando, FL/Orange County Public Schools

Orange Blossom Family Health

Children’s Home Society of Florida*

University of Central Florida

MANATEE ELEMENTARY
Bradenton, FL/School District of Manatee County

MCR Health

Children’s Home Society of Florida*

University of South Florida

ORANGE PARK HIGH
Orange Park, FL/Clay County District Schools

Orange Park Medical Center, Palms Medical Group

Children’s Home Society of Florida*

St. John’s River State College

IMPLEMENTATION SITES: COMMUNITY PARTNERSHIP SCHOOLS

COHORT 3

SCHOOL/DISTRICT

HEALTHCARE PROVIDER

NONPROFIT

UNIVERSITY/COLLEGE

OTHER PARTNERS

FORT MYERS MIDDLE ACADEMY
Fort Myers, FL/School District of Lee County

Lee Health

United Way of Lee, Hendry & Glades*

Florida Gulf Coast University

PARKER ELEMENTARY
Panama City, FL/Bay County Public Schools

PanCare Health

Children’s Home Society of Florida*

Gulf Coast State College

WHITE CITY ELEMENTARY
Fort Pierce, FL/St. Lucie Public Schools

Cleveland Clinic Martin Health

United Way of St. Lucie & Okeechobee*

Indian River State College

COLONIAL ELEMENTARY
Fort Myers, FL/School District of Lee County

Cleveland Clinic Martin Health

United Way of Lee, Hendry, & Glades*

Florida Gulf Coast University

BLANCHE H. DAUGHTREY ELEMENTARY
Bradenton, FL/School District of Manatee County

MCR Health, Inc

Children’s Home Society of Florida*

University of South Florida

Boys & Girls Clubs of Manatee County

PINE FOREST HIGH
Pensacola, FL/Escambia County School District

Community Health Northwest Florida

Children’s Home Society of Florida*

University of West Florida

JEFFERSON K-12
Monticello, FL/Jefferson County Schools

Jefferson County Department of Health

Children’s Home Society of Florida*

Florida A&M University, Florida State University, North Florida College

CARIBBEAN K-8
Miami, FL/Miami Dade County Public Schools

Nicklaus Children's Hospital

Children’s Home Society of Florida*

Miami Dade College

JFK MIDDLE
Riviera Beach, FL/School District of Palm Beach County

Healthcare District of Palm Beach County

Children’s Home Society of Florida*

Florida Atlantic University

LAKE WORTH HIGH
Lake Worth, FL/School District of Palm Beach County

Healthcare District of Palm Beach County

Children’s Home Society of Florida*

Florida Atlantic University

IMPLEMENTATION SITES: COMMUNITY PARTNERSHIP SCHOOLS

COHORT 4

SCHOOL/DISTRICT

HEALTHCARE PROVIDER

NONPROFIT

UNIVERSITY/COLLEGE

OTHER PARTNERS

BELLVIEW MIDDLE
Pensacola, FL/Escambia County Public Schools

Community Health Northwest Florida

Children’s Home Society of Florida*

University of West Florida

CAMPBELL MIDDLE
Daytona Beach, FL/Volusia County School District

Halifax Health

Children’s Home Society of Florida*

Daytona State College

EAST MARION ELEMENTARY
Silver Springs, FL/Marion County Public Schools

Heart of Florida Health Center

United Way Marion*

College of Central Florida

HCA Florida Ocala Hospital, HCA Florida West Marion Hospital, Public Education Foundation of Marion County

HALLANDALE HIGH
Hallandale Beach, FL/Broward County Public Schools

Broward Community and Family Health Centers

United Way Broward*

Broward College

HUDSON HIGH
Hudson, FL/District School Board of Pasco County

Premier Community Healthcare Group, Inc.*

Metropolitan Ministries

Saint Leo University

Feeding Tampa Bay

LONGBRANCH ELEMENTARY
Jacksonville, FL/Duval County Public Schools

AGAPE Medical

Children’s Home Society of Florida*

Florida State College at Jacksonville

University of North Florida

RUTHERFORD HIGH
Panama City, FL/Bay District Schools

PanCare Florida

Children’s Home Society of Florida*

Gulf Coast State College

IMPLEMENTATION SITES: COMMUNITY PARTNERSHIP SCHOOLS

COHORT 5

SCHOOL/DISTRICT

HEALTHCARE PROVIDER

NONPROFIT

UNIVERSITY/COLLEGE

OTHER PARTNERS

BUCHANAN MIDDLE
Tampa, FL/Hillsborough County School District

Tampa Family Health Centers

Children’s Home Society of Florida*

University of South Florida

University Area Community Development Corporation

CARVER MIDDLE
Orlando, FL/Orange County Public Schools

Orange Blossom Family Health

Children’s Home Society of Florida*

University of Central Florida

HOMESTEAD SENIOR HIGH
Homestead, FL/Miami-Dade County Public Schools

Community Health of South Florida

Children’s Home Society of Florida*

Miami-Dade College

MARJORIE KINNAN RAWLINGS ELEMENTARY
Pinellas Park, FL/Alachua County Public Schools

Florida Department of Health

Children’s Home Society of Florida*

University of Florida

Santa Fe College

MATTHEW W. GILBERT MIDDLE
Jacksonville, FL/Duval County Public Schools

Agape Health

Children’s Home Society of Florida*

University of North Florida

Florida State College at Jacksonville

TURIE T. SMALL ELEMENTARY
Daytona Beach, FL/Volusia County School District

Halifax Health

Children’s Home Society of Florida*

Florida State College at Jacksonville

University of North Florida

WEATHERBEE ELEMENTARY
Fort Pierce, FL/St. Lucie County Public Schools

Cleveland Clinic Martion Health

United Way of St. Lucie & Okeechobee

Indian River State College

Children Services Council, Southeast Florida Behavioral Health Network

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Date

Description

Jan 24 12:00 pm

UCF Executive Master of Health Administration Info Session Virtual

Feb 3 2:00 pm

UCF Executive Master of Health Administration Info Session Virtual

Feb 12 5:15 pm

UCF Executive Master of Health Administration Info Session Virtual

"*" indicates required fields

ORGANIZATION INFORMATION

Organization Name:*

Type of Organization:*

UCF - a UCF department or an active registered student organization whose event participants are mainly current UCF students.

Community - local recreational league or community organization.

Commercial - company, group or individual that have events with participation or admission fees.

Type of UCF Organization:*

Department

Student Organization

ADVISOR INFORMATION (FOR UCF STUDENT ORGANIZATIONS ONLY)

UCF Advisor:*

First Name Last Name

Department:*

Extension*

Email:*

knights.ucf.edu OR ucf.edu ONLY Confirm Email

PAYMENT INFORMATION

Method of Payment:*

NOTE: Upon approval of application, a payment schedule will be provided.

Check

Money Order

Interdepartmental Transfer (for UCF Organizations ONLY)

Credit Card

REPRESENTATIVE INFORMATION

Representative:*

First Name Last Name

Title*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

EVENT INFORMATION

Event Name*

Projected Attendance*

Description of Event:

Please indicate who will be attending the event, what is the focus of the program, and include any other details to assist in approving this request.

Will an admission fee be charged for this event?*

Yes

Please provide fee details:

Will any retail items be sold at this event?*

Please note that selling of any items must be in compliance with UCF policy. Contact UCF Business Services for additional information.

Yes

Please provide item details:

Does this organization assess membership/participation fees?*

Yes

Please provide fee details:

Equipment Requested:

Tables

Chairs

Podium

Sound System

Please identify any additional equipment needs:

For technology support, please contact the Office of Instructional Resources.

Quantity of Tables*

Quantity of Chairs*

Date of Event:*

MM slash DD slash YYYY

Start Time:*

Hours

Minutes

AM/PM

End Time:*

Hours

Minutes

AM/PM

Is this a recurring event?

Yes

Add additional dates and times below:

Date of Event:

MM slash DD slash YYYY

Start Time:

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Minutes

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Minutes

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Date of Event:

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Minutes

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Disclosure and Cancellation Policy*

All organizations and individuals applying for the use of any University facility are responsible for knowing and abiding by the rules and policies governing that area. Applications must be received at least four weeks prior to the event. No organization will be permitted use of University facilities on any basis until the application is approved and proof of insurance is verified. Other restrictions may apply.

All reservations require a 25% non-refundable deposit. The balance is due the day of the event. Payment details for all events will be arranged with the Facilities Coordinator

CANCELLATION POLICY: All payments are nonrefundable.

I have read and acknowledge the disclosure statement above.

Food Services Disclosure Statement*

All food service on campus must be provided by vendors approved by UCF Business Services office. No food or beverages, including alcoholic beverages, are allowed inside the gymnasium. Concession requirements should be directed to the University Business Services office.

I have read and acknowledge the food services disclosure statement above.

Potentially Hazardous Events and Assumption of Risk*

POTENTIALLY HAZARDOUS EVENTS: All events with over 50 attendees are considered to be potentially hazardous and must be vetted and pre-approved through the UCF Safety Action for Event (SAFE) Form. The SAFE Form must be submitted at least 15 days prior to the event date.

ASSUMPTION OF RISK: It is the responsibility of the reservation contact to ensure that any invitee, guest, employee or independent contractor receives notice of and complies with UCF’s guidelines. Failure to do so may result in immediate removal from the property, without refund.

Reservation contact voluntarily assumes all associated risks and liabilities related to exposure of COVID-19. Furthermore, requesting party agrees to indemnify, defend and hold harmless, UCF and the College of Community Innovation and Education, its parents, subsidiaries, officers, employees, agents, joint venture partners, affiliated entities and representatives, from and against any and all claims, demands, actions, damages, losses, costs, penalties, liabilities, expenses or deficiencies asserted against UCF related to or arising from exposure or transmission of COVID-19.

I have read, understand, and agree to follow all reservation policies and UCF guidelines outlined above.

Contact the UCF CCIE Facilities Director for more information:
Benie Harris
Email: benie.harris@ucf.edu
Telephone: 407-823-5003

I acknowledge the information contained in this request is accurate and I will abide by all rules and regulations set forth by the University of Central Florida and the College of Community Innovation and Education. By clicking the button below, I understand that this request will be submitted for consideration only and does not indicate that my reservation is approved.

Phone

This field is for validation purposes and should be left unchanged.

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