- Register - School Employee Wellness

Thank you for your interest in school employee wellness.

Note: All are required except for Address 2.

Personal Information

*First Name:

*Last Name:

*Organization:

*Address1:

Address2:

*City:

*State:

or Province:

*Zip/Postal Code:

*Country:

*Please select the one that most closely matches your job title or affiliation.

	School District Administrator
	Other District Staff (please specify in the if other field)
	Principal
	School Health Coordinator (School Site)
	School Nurse
	Health Educator
	Physical Educator
	Other School Teacher/Staff (please specify in the if other field)
	State Health Department
	State Education Department
	Other

If other

*Which of the following applies to you? (Check all that apply)
My school/district:

	Currently has an employee wellness program
	Does not currently have an employee wellness program
	Is interested in improving our existing employee wellness program
	Is interested in implementing an employee wellness program
	Is enrolled with the Alliance for a Healthier Generation's Healthy School program
	I am interested in having these materials as a resource only
	Other:

Please submit comments and questions to: info@schoolempwell.org

Site last updated: Tue Aug 31 13:14:47 PDT 2010

Directors of Health Promotion and Education
1015 18th Street, N.W. 3rd Floor, Washington, DC 20036
Phone: 202-659-2230 Fax: 202-659-2339 www.dhpe.org