High School & College Education Program: Aligned with National Health Education Standards

Phone

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Name*

First Last

Work Email*

Mobile Phone

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Text Messaging Agreement

I would like to receive text message updates about DetecTogether on my mobile phone.

To receive text messages from us, please check the box above. By opting in, you will receive important monthly updates, reminders, promotions, and notifications via text. You must be at least 18 years old to subscribe. View our Privacy Policy at Privacy Policy – DetecTogether. For assistance, contact us at communications@detectogether.org or (508) 869-5200. Standard message and data rates may apply. Reply STOP to opt-out at any time.

Text Messaging Agreement (Emma)

I would like to receive text message updates about DetecTogether on my mobile phone.

To receive text messages from us, please check the box above. By opting in, you will receive important monthly updates, reminders, promotions, and notifications via text. You must be at least 18 years old to subscribe. View our Privacy Policy at Privacy Policy – DetecTogether. For assistance, contact us at communications@detectogether.org or (508) 869-5200. Standard message and data rates may apply. Reply STOP to opt-out at any time.

How did you hear about us?*

School / District Name*

School / District Location*

City State

What is Your Job Title/Role?*

What type(s) of program(s) are you interested in?*

Teacher Led Curriculum
Online Self-Paced Learning
Professional Development for ConEd Hours

Agreement*

I agree to use the DetecTogether materials provided by DetecTogether for educational purposes, and I will not sell or distribute them as my own. I also commit to responding to DetecTogether’s biannual requests for general usage data, including the total number of anonymous students who received the education. This data is crucial for DetecTogether, a nonprofit organization, to secure support and continue offering early cancer detection programs.

Comments / Questions?

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Do your students have internet-accessible devices at home (computer, laptop, tablet, etc)?

Yes
No
Unsure

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Curriculum Format Preference

Microsoft
Google

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Personal Email

Please provide a personal email address to receive our curriculum in Google format. This is because Google Classroom does not allow file sharing with email domains outside of your organization.

High School & College Education Program: Aligned with National Health Education Standards

Early detection saves lives, but only if young people know what to look for.