School Public Health Speaker Request
Request a public health education presentation for your school. Select grade levels, topics, and provide your contact information.
School Name
Contact Person
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Dates/Times for Presentation
Grade Level(s) for Program
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Program Topics (select all that apply)
Dental Health (Pre-K–4th)
Dental Health (5th–12th)
Hand Hygiene (K–1)
Poison Prevention (K–2)
Stop! Ask First (K–3)
Friendships (1st)
Safety Equipment (1st)
Stranger Danger (1st)
Bullying is Never Okay (2nd)
Teasing, Harassment, and Bullying (3rd)
Feeling Safe (3rd)
Internet Safety (3rd, 4th, 5th, 7th)
Figuring Out Friendships (4th)
Taking a Stand Against Bullying (4th)
Hygiene and Your Health (4th, 6th)
Importance of Nutrition (4th, 5th)
How Do You Cope? A Lesson on Resiliency (5th, 8th)
Puberty Education (5th)
Facing Peer Pressure (5th, 6th, 8th)
Vape Free Curriculum (4th–5th, 6th–8th, 9th–12th)
Be Drug Free (6th)
Nutrition 101 (7th, 8th, 9th–12th)
Tobacco/Vaping Prevention (7th, 8th, 9th–12th)
Healthy Heart (7th)
Stress! No Body Needs It (7th)
Healthy or Unhealthy Relationships (8th, 9th–12th)
Bullying vs. Conflict (6th–8th)
Cannabis Prevention Curriculum (6th–8th, 9th–12th)
Birth Control Basics (9th–12th)
STD Basics (9th–12th)
Is It Abuse If…? (9th–12th)
The Opioid Epidemic (9th–12th)
Smokeless Tobacco 101 (9th–12th)
Realityworks RealCare Baby Program (9th–12th)
Safe Relationships: Teen Dating Violence (9th–12th)
Domestic Violence 101 (9th–12th)
Safety First Drug Education Curriculum (9th–12th)
Botvin LifeSkills Lessons (Elementary, Middle, High School)
Other (please describe in notes)
Curriculum Type
Single Presentation
Multi-Lesson Series
Special Notes or Requests
Submit Request
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