2015 CSS Winter Info Sessions: New Jersey

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* 1. I would like to RSVP for the following Information Session (please select one of the dates below):

Tuesday, January 13, 2015 at 1:00 p.m. -- 4:00 p.m. at South Brunswick High School: 750 Ridge Road, Monmouth Junction, NJ 08852

Friday, January 16, 2015 at 9:00 a.m. -- 12:00 p.m. at Tenafly High School: 19 Columbus Drive, Tenafly, NJ 07670

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* 2. Please sign me up for one of the following breakout sessions:

Peer Group Connection - Middle and High School: Older students supporting younger peers as they transition into middle or high school

Teen Prevention Education Program (Teen PEP): High School juniors and/or seniors educate younger peers about issues of sexual health

Campaign Connect: A data-driven, relationship-based initiative that builds on the work of the School Safety Team to strengthen school climate and culture so as to improve student outcomes.

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* 3. Please provide your contact information.

First Name:

Last Name:

Title:

School/Organization:

Email Address:

Phone Number:

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* 4. Provide contact information for additional colleagues who will be attending here.

First Name:

Last Name:

Title:

School/Organization:

Email Address:

Phone Number:

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* 5. Provide contact information for additional colleagues who will be attending here.

First Name:

Last Name:

Title:

School/Organization:

Email Address:

Phone Number:

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* 6. Provide contact information for additional colleagues who will be attending here.

First Name:

Last Name:

Title:

School/Organization:

Email Address:

Phone Number: