Health for Success in Virginia
Training Sessions
Longwood University
July 12 - 15, 2004
Registration Deadline
June 11, 2004
Sponsored by:
Virginia Department of Education (HIV Prevention Project and Safe &
Drug-Free Schools Programs)
Virginia Comprehensive Health Education
Training and Resource Center
Longwood University
Virginia Department of Health (Center for Injury & Violence Prevention)
Virginia Association for Health, Physical Education, Recreation, and Dance

The annual Health for Success In Virginia Training Sessions targets
teachers, instructional specialists, administrators, nurses, counselors,
social workers, parents, community-based educators, and related positions.
To ensure maximum information sharing it is suggested that school divisions
pre-register participants by broad-based school and community teams.
Participants will receive a certificate of attendance for teacher
recertification through their school divisions. Interested individuals can
apply for CHES recertification credits. You must attend all sessions IN FULL
to receive recertification credit. CEUs and three graduate credit coursework
will also be offered through Virginia Commonwealth University. All
participants must be pre-registered. There will be no on-site registration.
The check and registration form must be received by Friday, June 11, 2004.
Workshops are limited to approximately 20 persons. For workshops to be
offered, there must be a minimum of 12 registrants. Workshops will be
assigned according to the date individuals' registration materials are
received. The non-refundable registration fee of $35.00 per person must be
pre-paid by check. NO PURCHASE ORDERS WILL BE ACCEPTED. If there is an
emergency and a registrant is unable to attend, another person may
substitute. If registrants fail to find a substitute, fail to cancel three
working days prior to the start of the event, or leave early without just
cause, they will be charged for each day not in attendance, from $42.65 up
to $134.75 for the full four days. This amount will cover grant expenses
spent for the participant. The registration fee includes all on-campus
meals, lodging (including basic linens) and FLE training materials. All
rooms are doubles unless an additional fee of $28.00 PER NIGHT is paid (for
a total of $84.00). There are a limited number of single rooms. You MUST
include this additional amount in your registration fee. If paying by
personal check, please include a social security number. If paying with a
school/business check, please provide the school's FIN (federal
identification number). Make check(s) payable to Cashiering
Office-Longwood University and mail to:
Cashiering Office
Longwood University
201 High Street
Farmville, VA 23909
No Purchase Orders will be accepted.
Additional Fees: (1) For the Heartsaver CPR workshop there is a $40.00 per
person charge that must be paid on-site. Please do not include this
additional fee in your registration payment. (2)The Second Step training
requires purchase of the curriculums prior to or after the trainings from
the distributor (the materials will not be available for purchase at the
event). The programs are designed to help participants use the respective
curricula.
Confirmation packets that include directions, a campus map, and additional
workshop information will be mailed upon receipt of the registration.
Check-in hours will be 3:00-5:00 pm on Sunday, July 11th for those
traveling more than 200 miles and for others 8:30-9:45 am on Monday, July
12th.
Please note that Longwood University is NOT a barrier-free environment. If
you have any questions about access and/or accommodations contact the
Director of Disabilities Support Services at 434-395-2391 or 800-828-1120 TT
Relay.
Registration questions should be addressed to Shavvon Gough at 434-395-2454
or vchetrc@... . Programmatic questions should be addressed to
Muriel Azria-Evans at 804-225-4543 or mazria-e@....

Registration Instructions
Participants will attend one workshop each day. The training time for each
workshop day is approximately 6 hours. Training days will begin at 8:30 am
each day except for Monday July 12th when workshops begin at 10:00 am.
Participants may sign up for any workshops offered. However, if you are a
first-time FLE participant you should attend the Understanding Human
Sexuality Today Workshop as your first choice. All participants, please
number the workshop choices by preference (1, 2, 3, & 4). Then mark two
alternate workshops (A1 & A2)*
When marking choices, notice some workshops are offered on specific dates
only. Other workshops will be scheduled according to registration requests.
A minimum of 12 registrants is required to hold a workshop. An attempt to
offer participants their first choices is paramount.
FLE Workshops *
1) ____ Understanding Human Sexuality Today
2) ____ Strengthening Parental Involvement in FLE
3) ____ Preventing Sexually Transmitted Diseases
4) ____ Integrating HIV, STD and Teen Pregnancy Prevention Education Across
Curriculum
5) ____ Working With Diverse Populations
6) ____ Preventing Sexual Harassment, Abuse and Assault
7) ____ Understanding Legal and Ethical Issues Related to HIV and FLE
8) ____ Managing "Sensitive" Issues
9) ____ Dealing with Teen Pregnancy: Focus on Fathers
10) ____ Connecting Sexual Behaviors, Drug Use and HIV Infection
11) ____ Reducing Risky Behavior
12) ____ Preventing HIV Infection
13) ____ Practicing Effective Teaching Strategies for Sexuality/HIV
Education
14) ____Preparing for The Future: Family Planning
Feel free to duplicate this flyer and share with colleagues.
General Health Workshops
15) ____ Am. Heart Association: Heartsaver CPR (Tue., 7/13 only)
16) ____ Am. Cancer Society: Looking Good Feeling Better (Includes Active
for Life program on worksite wellness & Generation Fit on service-learning
projects related to nutrition and physical activity) (Mon. 7/12 only)
17) ____ Am. Red Cross: Disaster Preparedness (addresses appropriate action
in time of disasters or acts of terrorism) (Mon., 7/12 only)
18) ____ Nutrition Navigation- from Science to Schools (addresses current
nutrition research, the obesity epidemic, and the impact of improved
nutrition in the classroom) (Wed., July 14 only)
19) ____ Reaching Adolescents Using a Developmental Framework (addresses
physical, emotional, and cognitive changes of adolescents as they make
health promoting decisions) (Thu., July 15 only)
Suicide/Violence Prevention Workshops
20) ____ Applied Suicide Intervention Skills Training (ASIST): Suicide Risk
Assessment and Intervention-middle and high school (two-day training-Tues. &
Wed., July 13 & 14 only)
21) ____Second Step: A Violence Prevention and Character Education
Curriculum, pre K - 8 Requires purchase of materials from distributor AND
QPR - Question, Persuade and Refer Suicide Prevention Program (Thu., July 15
only)**

I will attend: ___ M ___Tue ___ W ___ Thur ____

PLEASE PRINT! Your Name:
____________________________________
Title or Position: ______________________________________
County/City of Work: ______________________________________
School/Organization Name:
Summer Address (street, city, zip): ______________________________________
______________________________________
______________________________________
Summer Phone Number: ______________________________________
FAX Number: _____________________________________
E-mail: ______________________________________
Room preference: Double: ____
Single _____(additional $84.00 for three days
single occupancy)
I want to share a room with: ____________________________________
___ Smoker ___Non-smoker
Has your roommate already registered? Yes ______ No ______
___ I will reside off campus.
Do you need special accommodations? (Please explain).
____________________________________________________________________________
______________
Office use only:
Code # 4-20314
Receipt #___________ Date_______ Initial _____


----------------------------------------------------------------
Muriel Azria-Evans, Ph.D., CFLE
Comprehensive School Health Specialist
Office of Student Services
Virginia Department of Education
P.O. Box 2120
Richmond, VA 23218-2120
phone: (804) 225-4543
fax: (804) 371-8796