Healthy Schools Network

Application for New Membership

School Information:
* School District/Organization:
* School:
* Address
*City
*Postal Code
 
School Leaders (Principal / Vice principal):  
*Name
*Position
*Email
*Telephone
*Fax
 
Teacher
*Name
*Email


Agreement to Membership Requirements
Receipt of this application will confirm your school’s request for membership and your agreement to and understanding of the HSN requirements and benefits.

* I have read and agree to the Healthy Schools Network membership requirements.