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Founded in 1982, PENCIL links community resources with Nashville public schools to help young people achieve academic success and prepare for life. PENCIL programs are designed to - Encourage academic achievement. - Provide a safety net for at-risk youth. - Promote career success for youth and for parents receiving public assistance. - Build positive relationships between children and caring adults. This grant will expand a health and wellness program for new immigrant and refugee children titled Starting Healthy: Supporting Health and Hygiene Needs of English Language Learners Enrolled in Metro Schools. 120 of 140 (85%) will demonstrate increased understanding of dental hygiene. 120 of 140 (85%) will have a dental cleaning. 120 of 140 (85%) will demonstrate compliance with head lice eradication. 140 of 140 (100%) will have shoes appropriate for PE. 120 of 140 (85%)will demonstrate improved personal levels of hygiene. 120 of 140 (85%) will demonstrate age-appropriate understanding of alarm clocks/ schedules.