1.Application contact details

Name

School 

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

2.What is the size of your school (number of students)?

3.How many staff do you have?

4.Can you please list any current wellbeing programs you are using?

5.Do you have a dedicated wellbeing staff member or team?

Yes

No

If you answered no: would your school be willing to create a wellbeing team in order to implement the program effectively?