1. A. By March 15 in each year of participation, the contact person for a participating school shall submit to the Department a written program evaluation on a form provided by the Department that includes:

   1. 1. The contact person’s name, title, address, telephone number, fax number, and if applicable, e-mail address;
   2. 2. The school’s name, street address, mailing address, and telephone number;
   3. 3. The name of the school district and county where the school is located;
   4. 4. The number of years the school has participated in the Arizona Fluoride Mouthrinse Program;
   5. 5. The percentage of children attending the school that participated in the National School Lunch Program during the current school year;
   6. 6. The grades in the school that participated in the Arizona Fluoride Mouthrinse Program;
   7. 7. The grades in the school that will participate in the Arizona Fluoride Mouthrinse Program during the next school year;
   8. 8. The number of children that participated in the Arizona Fluoride Mouthrinse Program during the current school year;
   9. 9. The number of children the contact person anticipates will participate in the Arizona Fluoride Mouthrinse Program during the next school year;
   10. 10. The number of packets or boxes of fluoride mouthrinse unused at the end of the current school year, if applicable;
   11. 11. The number of packets or boxes of fluoride mouthrinse needed for the next school year; and
   12. 12. The flavor of fluoride mouthrinse.

2. B. In addition to the requirements in R9-23-304, the Department may discontinue participation in the Arizona Fluoride Mouthrinse Program if:

   1. 1. A participating school does not submit a program evaluation,
   2. 2. Less than 70% of the children attending the school participated in the Arizona Fluoride Mouthrinse Program, or
   3. 3. The school administered the Arizona Fluoride Mouthrinse Program for eight months or less.
3. C. At the end of the third year of participation, if a school wishes to continue participation in the Arizona Fluoride Mouthrinse Program, the school shall apply to participate according to the requirements in R9-23-301.

Historical Note

Adopted effective February 23, 1993 (Supp. 93-1). Amended effective September 12, 1996 (Supp. 96-3). Section expired under A.R.S. § 41-1056(E) at 7 A.A.R. 4275, effective July 30, 2001 (Supp. 01-3). New Section made by final rulemaking at 13 A.A.R. 4190, effective January 8, 2008 (Supp. 07-4).