Elementary Module & Presentation Materials Request

Purpose of the Elementary Module & Presentation Materials– Curriculum modules and activities cover the 2022 Health TEKS on Bullying, Cyberbullying, and David’s Law. The 2022 Health TEKS will be required for all public schools starting in the 2022-2023 school year. Additionally, we have bullying and cyberbullying presentations that can easily be presented to your students.

What materials will be provided after completing the request form?

Modules covering each Health TEK for each elementary grade level K-5th
Activity(s) or worksheet(s) for each TEK
Presentation and script for grade groups: K-1st, 2nd-3rd, and 4th-5th

Please complete the below form to gain access to our Bullying & Cyberbullying Elementary School Module and 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.

Number of Students *

Number of Staff/Faculty on Campus *

AGREEMENT

I confirm my attendance of the DLF 2021-2022 Bullying & Cyberbullying elementary school presentation training. I agree the presentation training 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

Date of training attended

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.