Schedule Presentations

Name *

First Name

Last Name

Phone *

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Type of Presentation *

Please select which presentation you would like. Suggested grade levels are listed behind each type of presentation. Although some presentations may not be moved to different grade levels or semesters, you may schedule a presentation for a different grade or time frame. Please list additional information in the box at the bottom of this form.

Emotion Management (Fall semester 5th Grade)

5th Grade SOS (Spring semester 5th Grade)

SOS Middle School (6th Grade)

SOS High School (9th Grade)

EYES Bully Free (6th Grade)

EYES Peer Pressure (7th Grade)

EYES Self-Injury (8th/11th Grade)

EYES Healthy Coping Skills (10th Grade)

SOS 2nd ACT (12th Grade)

Training Trusted Adults (Faculty/Staff)

Training Trusted Adults (Parents)

Suicide Risk Assessment Training

NEW: EYES Technology and Mental Health (6th-12th grade)

NEW: Training Trusted Adults: Technology and Mental Health (parents/staff/faculty)

NEW: Addressing Bullying in Your School (Staff)

Resource Booth

Requested Date of Presentations *

Please note: Reservations are made on a first come, first served basis and initially requested dates my not be available but we will contact you to find other mutually agreeable dates.

MM

DD

YYYY

School CounselorSocial Worker Name *

First Name

Last Name

School CounselorSocial Worker Phone *

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