Learning Community Participant Registration

Goal of Regional Learning Community:
Collaboration of adult allies to support the development of youth-led prevention practices as a community –based process in which young people:
·        Determine a problem of practice
·        Identify root causes
·        Select and implement evidence-based strategies to address those root causes 
 
Lunch will be provided along with a continental breakfast.

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* 1. First and Last Name:

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* 2. Title:

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* 3. Agency:

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* 4. Address:

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* 5. Phone:

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* 6. Email.

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* 7. Dietary Restrictions:

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* 8. Please provide us with any additional information (as needed)

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* 9. Please rate your level of knowledge or understanding about the following if this is the first time you have registered for an Adult Allies Regional Learning Event

  I have never heard of it. I am familiar with this concept. I have worked with this concept. I have worked extensively with this concept. I have multiple years of experience with this concept.
Learning Collaborative
Strategic Prevention Framework
Youth Empowerment Model
Strategic Plan Map
Root Causes
Intervening Variables
Evidence-based Strategies
Environmental strategies

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Thank you for registering.  We look forward to working together on this regional partnership!  Please direct any questions or concerns to HC3Partnership@gmail.com

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