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We want to know about your successes.

Please share your success stories with us. Let us know when your county has issued professional development credits, has included TakeAction! in cyberschool, or has made other advances in management of diabetes and asthma.

 

Submit Your Success Story

Please fill out the following information.

Name of School


Address






School Enrollment


Please check all the grade levels within your school
(check all that apply)

Is your school:





Your Name


Your Phone Number


Your Job Title


Your Email Address


Confirm Email Address


Tell us about the specific success your school, your county, or you have personally had with the TakeAction! Addressing Asthma and Diabetes in West Virginia Schools program.

Please provide a brief description (2000 characters or less) including what made you decide to take these actions, the impact it has had on your school, and any other important aspects of the success and the process of achieving it.



If you have answered all the questions above, please read the information below before you submit your success story.

By completing this form and clicking the button above to submit your success story, you are consenting to have your school information and success story shared and published on this and other related websites and in other print and webmedia used to motivate and mentor other schools working toward a healthy school environment.

By completing and submitting this form, you are also providing permission for us to contact you for further information or clarification. Not all success stories may be published.

Please double check the text of your success story text prior to clicking the button below to ensure it is free of typos or other errors. You will not be able to change your success story after it is submitted. You may wish to write the story in a word proccessor and paste it into the above textbox.