Arizona School Nurse Committee Sign Up Form

The Arizona Department of Education, School Safety and Social Wellness Program is committed in its support of school nurses and staff of health offices in schools throughout Arizona. We have heard through our school nurse survey and SN HUDDLE sessions that many of you are interested in helping improve school health and the role of school nurses. We LOVE this idea and are starting several committees to start addressing the key issues that have been brought up in discussions. Please complete the questions below to let us know which committee(s) you are interested in joining.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. I work in (select your county from drop down menu):

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* 4. What is your work title?

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* 5. What is your school name?

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* 6. What is your school district name?

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* 7. What is your phone number?

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* 8. What is your email address?

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* 9. What Committee(s) would you like to join? (mark all that apply)

Seizure Action Plan Committee

Data Committee

District Lead Nurse Committee

Professional Development Committee

Thank you for joining a school nurse committee. Many of these committees are new efforts, the Seizure Action Plan Committee is already meeting. We will be in touch soon to let you know when a virtual committee meetings will be scheduled for your selected committee(s). Please visit our website for further details on our committees and upcoming events.