2023-24 Section Two School Health Services Report

2023-24 Annual School Health Services Section Two Report
Please use the Section Two worksheet provided on the School Health Services resource page to gather data regarding your LEA prior to beginning the report survey. Complete one summary per school system or LEA. Please complete the report survey no later than June 20th. All definitions and directions are incorporated into this worksheet.

Person preparing the report (only one per school system, please). See Definitions and Directions (D&D) page 1.

First Name: *This question is required.

Last Name: *This question is required.

Job Title: *This question is required.

Phone Number (###-###-#### - work number): *This question is required.

Phone Number (###-###-#### - summer contact): *This question is required.

Email Address:
Please make sure to enter a correct email address. This will determine your confirmation email with your survey response attachment. *This question is required. This question requires a valid email address.

LEA Information

County *This question is required.

If other, please list: *This question is required.

LEA Name and Number *This question is required.

If other, please list: *This question is required.