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First Name
Last Name
Email
Agency Name:
Agency Type: Agriculture Communications Consulting Education Government Healthcare Not For Profit Technology Other
Are you interested in being added to a topic-based resource list? Yes
Considering the learning objectives for this training, how would you rate your current level of ability to implement activities on the topics to be covered in this training? Very Low Low Average High
Considering the learning objectives for this training, how would you rate your current level of confidence to train others on the topics to be covered in this training? Just starting out Have some experience Been doing this for years
Considering the learning objectives for this training, how would you rate your current level of knowledge of the topics to be covered in this training? Very Low Low Average High
Please briefly describe the work you are doing or planning to do in this area.
Primary Role Community Based/Nonprofit Organization Community Member Government Official/Staff Health Professional Parent School Professional-Administrator School Professional-Board Member School Professional-Food Service School Professional-Health Teacher School Professional-Higher Ed School Professional-Nurse/Health Aid School Professional-P.E. Teacher School Professional-Teacher School Professional-Other Student None of the Above
What are you most interested in learning in this training and why?
What else would be helpful for trainers to know about you? (e.g., special accommodations, other experiences)
Which of the following best describes your experience in this training topic? Just starting out Have some experience Been doing this for years
Do you work with or in schools that have a school site wellness team?
Do you or the schools you work with engage parents to support school PA events and nutrition activities?
Comments
Action for Healthy Kids600 West Van Buren Street, Suite #720Chicago, IL 60607Phone: 1-800-416-5136