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Participant Registration Form

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* 1. Full Name

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* 2. Role/Position

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* 3. School

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* 4. District

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* 5. Email Address

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* 6. Phone Number

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* 7. Will you be attending this session as part of a team?

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* 8. Are you able to attend all three sessions?

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* 9. If you are not able to attend all three sessions, please indicate which you will be attending. (Select all that apply)

Reporting Information
This program is part of a Centers for Disease Control & Prevention Grant. We are collecting information on COVID-19 strategies being implemented in schools and districts. We will reach out to you at the end of the school year to ask the same questions. Please answer to the best of your ability. Your information will not be shared.

Note: If you have recently signed up for another session that is part of this CDC work, you likely were already asked and responded to these questions. We appreciate your taking the time to respond again here!

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* 10. To the best of your knowledge, since the beginning of the COVID 19 pandemic has your district implemented any of the following strategies to address COVID-19?

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My district made updates to it's public facilities (e.g., social distancing markers, air filtration systems)
My district has made modifications to district related organizations and activities (e.g., sports, clubs)
My district has put in place school meal pick-up/delivery programs for in person and virtual learning
My district or schools in my district provide childcare for essential workers
My district is promoting healthy behaviors to reduce the spread of COVID-19
My district has modified its schedules to reduce the number of students and staff in school building
My district uses in-person or virtual physical activity breaks
My district has enhanced schools health services for students with chronic conditions
My district is offering additional social and emotional learning opportunities

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* 11. To the best of your ability, how would you rate strategies your school and district used to engage all families during COVID-19?

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* 12. To the best of your ability, how would you rate strategies your school and district used to engage community partners during COVID-19?

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