Health Smart Teacher T-Shirt

Health Smart Virginia is designed to provide support to Virginia educators to educate on the Health Education Standards of Learning. As an incentive for educators to provide feedback on the web site and as a way of proudly promoting its availability across Virginia, the Virginia Department of Health is providing educators with free t-shirts. To receive your FREE Health Smart Teacher T-shirt you must complete the form below, providing us with details of how you have used or plan to use the Health Smart VA Web Site. The shirts are limited in various sizes and are available for a limited time. T-shirts are limited to one per person. Please allow 3-4 weeks to receive your shirt. Contact information will not be shared with other parties. It will only be used solely for mailing the t-shirt to you.

Short Survey

How have you used the Health Smart VA web site?

How do you plan to use the Health Smart VA Web Site in the future?

After reviewing the site, what did you find most helpful? If you found a specific link or lesson plan, please paste it and explain what you like about it.

What would you change about the Health Smart VA Web site?

Your Information

Name:

Title:

Home Address:

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School Division Name:

School Name:

School Address:

State:

Zip:

If you would like to join the Injury Free Schools VA List Server to be notified of various school safety resources, trainings, funding and other opportunities please provide your email address.

Email:

Requested Size: (Sizes are limited and if your first choice is not available, we will send you the closest available size)

First Choice:

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