Faces of Health Education Specialist My journey as a health education specialist Question Title * 1. Full Name OK Question Title * 2. Credentials - CHES, MCHES, etc. OK Question Title * 3. Employer OK Question Title * 4. Job Title OK Question Title * 5. Email Address OK Question Title * 6. Phone Number OK Question Title * 7. CHES/MCHES Number OK Question Title * 8. Tell us about you. Where are you from? What school did you attend? etc., OK Question Title * 9. What I do when I'm not at work? OK Question Title * 10. Here's my media mix Newspaper and/or news source I read Blogs I read Television shows/streaming I watch Who I follow on Twitter OK Question Title * 11. Why did you choose a career as a health education specialist? OK Question Title * 12. If you were not in your current position, tell us what you would be doing instead OK Question Title * 13. What is your work setting? Hospital Government (local, state, tribal, federal) Federally Qualified Health Center (FQHC) Community health center Corporate wellness Nonprofit Private Other (please specify) OK Question Title * 14. What is the name of your employer/school/university/organization/hospital? OK Question Title * 15. Where is your work setting? Urban Suburban Rural OK Question Title * 16. What makes your current or future career in health education exciting? OK Question Title * 17. What is the best career advice you received? From whom? OK Question Title * 18. What is the best career advice you would give? OK Question Title * 19. Of the Seven Areas of Responsibility - which one do you use most? OK Question Title * 20. How long have you been a SOPHE member (National or Chapter)? less than 3 years 3-5 years 6-10 years more than 10 years I am not a SOPHE member OK Question Title * 21. Upload your photo Please upload your photo to feature you as a face of a health education specialist. PDF, JPEG, JPG, PNG, GIF file types only. Choose File No file chosen Remove File Please upload your photo to feature you as a face of a health education specialist. OK Question Title * 22. PERMISSION: I hereby grant the Society for Public Health Education [SOPHE] and its representatives, successors, and licensee’s permission to use my personal statement, photo, image or likeness in any and all of its publications or any medium, including print and electronic, or other digital media, without payment or other consideration. I understand and agree that all materials become the property of the SOPHE. I hereby grant permission to SOPHE to edit, crop, or retouch such materials and waive any right to inspect the final versions or photographs.I hereby irrevocably authorize the Society for Public Health Education to edit, alter, copy, exhibit, publish, or distribute these statements. photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the statement or photo. I hereby hold harmless, release, and forever discharge the Society for Public Health Education from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.I HAVE READ, UNDERSTAND AND AGREE TO THE STATEMENT AND PHOTO RELEASE TERMS. I ALSO AFFIRM THAT I AM 18 YEARS OF AGE OR OLDER BY SELECTING TO ANSWER "YES." YES No OK Thank you for your participation in the ongoing project, Faces of health education specialists. OK THANK YOU!