REGISTRATION - Project Here

Name of Coalition/Community Partner Organization*
Must be a Massachusetts based substance use prevention coalition or community organization that serves students in grades 6, 7 or 8.
Name(s) of school(s) and school districts served by your organization*
School must be a Massachusetts public school serving students in grades 6, 7 or 8.

First Name of Primary Contact*
This individual will be the main point of contact between Project Here staff and your district. Ideally, this individual is a District Health and/or Wellness Coordinator, school principal, health educator, etc.
Last Name of Primary Contact*
Title/Position of Primary Contact*
Primary Contact Email*
Contact Phone Number*
Extension
Additional Contact Information
Please use "+" to add additional users of Project Here resources (I.e. other health/PE/science teachers at your school, guidance counselors, school nurse etc.)
First Name Last Name Title/Position Email Phone number Extension

Were you referred to Project Here by an educator who is currently using Project Here resources in their classroom?*
I was referred by:*
Name School City/Town

Register for Project Here

First Name	Last Name	Title/Position	Email	Phone number	Extension

Name	School	City/Town