Step 1 of 2 50% Form InstructionsInstructions for School Champion form Page 1: -Please complete fields with your contact information (please use the address you can be reached at and please do not include name of school here) -Select county your school(s) is located in -Select location you will pickup your Awareness Kit from Page 2: -You will use this page to add your school(s) name, student and staff population, and type of school -Click Add school to enter data -If you represent more than one school, you'll need to add each individual schoolName* First Last Work Email* Work Phone*Position Title*Work Address* Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Please click here to select your county.Allegany CountyAnne Arundel CountyBaltimore CityBaltimore CountyCalvert CountyCaroline CountyCarroll CountyCecil CountyCharles CountyDorchester CountyFrederick CountyGarrett CountyHarford CountyHoward CountyKent CountyMontgomery CountyPrince George’s CountyQueen Anne’s CountySaint Mary’s CountySomerset CountyTalbot CountyWashington CountyWicomico CountyWorcester CountyWhich site will your pickup your Awareness Kit from:*Please click here to select pickup location.Baltimore City: MCF Baltimore Office, 2701 N. Charles Street, Ste. 400, Baltimore, MD 21218Baltimore County Public Schools: delivery to School site via School System Pony MailCarroll County Public Schools: delivery to School siteCarroll County: Carroll County Health Department, 290 South Center Street, Westminster, MD 21157Columbia: MCF Central Office, 10632 Little Patuxent Parkway, #234, Columbia, MD 21044Dundalk: MCF Dundalk Office, 1105 North Point Boulevard, Suite 325, Baltimore MarylandEastern Shore: MCF Caroline County Office, 9 South Third Street, Denton MD 21629Harford County: Harford County Department of Community Services, 125 N. Main Street, Bel Air, MD 21014Lutherville: MHAMD Office, Heaver Plaza, 1301 York Road, Ste. 505, Lutherville, MD 21093Montgomery County: EveryMind, 1000 Twinbrook Parkway, Rockville, MD 20851Prince George's County Public Schools: delivery to school site via School System Pony MailPrince George's County: Judy Hoyer Family Learning Center, Office of Psychological Services, 8908 Riggs Road, Adelphi, MDSalisbury: MCF Salisbury Office, 212 West Main Street, Suite 202B, Salisbury, MD 21801Waldorf: MCF Waldorf Office, 105 Paul Mellon Court, Waldorf, MD 20602Washington County: Jack E. Barr Center for Well-Being – San Mar Family & Community Services, 8504 Mapleville Road, Boonsboro, MD 21713I do not want an Awareness Kit for my schoolAwareness Kits include: - Bookmarks for each student - Green wristbands - Color changing mood pencils - Healthy, Body & Mind Brochures - 2020 Campaign Poster Form InstructionsInstructions for School Champion form Page 1: -Please complete fields with your contact information (please use the address you can be reached at and please do not include name of school here) -Select county your school(s) is located in -Select location you will pickup your Awareness Kit from Page 2: -You will use this page to add your school(s) name, student and staff population, and type of school -Click Add school to enter data -If you represent more than one school, you'll need to add each individual schoolSchool Information School Name Type of school Edit Delete There are no Schools. Add School Maximum number of schools reached.