[JournalMast"]
TELL US ABOUT YOUR TOBACCO REDUCTION PROJECTS

IMPROVE PEER EDUCATION PROGRAMS
RECEIVE SUPPORT FROM EXPERTS AT NO COST
USE TECHNOLOGY TO ACCESS HEALTH PREVENTION
REDUCE THE TIME SPENT SEARCHING FOR PEER MODELS

["Nosmoking"]

TOBACCO REDUCTION PEER PROGRAMS WANTED
Peer Resources is initiating a pilot project to determine the value of using the internet to deliver a variety of services to help create and strengthen peer-based tobacco prevention and reduction programs. Peer programs can qualify (see conditions below) to be selected to receive free technical support, no-cost, expert consultation, and completely free practical materials for program leaders and students.

Each Peer Leader in the National Project Will Receive:

To Qualify a Site Needs: To Apply for the Smoking Reduction Pilot Project Team, Complete This Form Before May 31, 1996:

["Rainbowline"]

TO PEER RESOURCES:

We would like to have our program considered for the pilot project. I have read the qualifications and confirm that we can provide these components or get them in time for this project.
Maybe. We might want to be considered, but we have some questions. Please call me.
No. I like the idea, but we do not have the qualifications yet. Keep me informed about progress.

Name
Title/Position
School
School Address
City
Province
Postal Code
School Phone
Home Phone (Optional)
Fax Phone
E-mail address
Number of Current Peer Students

What curriculum is used in your smoking prevention program?
PAL
Kick the Nic
Quit for Life
Kick Butt
Break Free
Other
Name of other?

How satsified are you with your present peer-based health education initiatives?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied

What other peer based health initiatives do you currently use? If you have no current initiatives, please indicate what you would like to have.


["Rainbowline"]
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