COUNSELOR TRAINING

PLEASE COMPLETE TO GAIN ACCESS TO OUR "2020-2021 TEXAS BULLYING & CYBERBULLYING" ELEMENTARY SCHOOL PRESENTATION MATERIALS

YOUR INFORMATION

Name *

First

Last

Email *

Confirm Email

Contact Phone Number

SCHOOL INFORMATION

School Name *

School District *

(enter N/A if not applicable)

Zip Code *

What outcome(s) would you like to see by using the DLF 2020-2021 Texas Bullying & Cyberbullying elementary school presentation materials (check all that apply) *

Awareness and understanding of Cyberbullying
Awareness and understanding of David's Law
Change in behavior

Does your campus currently have an anti-bullying program and/or club? *

Please let us know the number of students by grade level, and number of staff/faculty on your campus.

K-1 - Number of Students *

2-3 - Number of Students *

4-5 - Number of Students *

Number of Staff/Faculty on Campus *

AGREEMENT

I understand the DLF 2020-2021 Texas Bullying & Cyberbullying elementary school presentation materials are to be used on my campus only. I will refer other counselors, not on my campus, to attend the training to gain access to the materials. *

I agree
I do not agree

Upon submission of this form our office will confirm your attendance at one of our training session in order to provide you access to the presentation materials.

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