Wufoo
Ohio Champions
Individuals in Ohio can use this form to indicate their interest in being a program champion for any of the Kognito simulations offered through the Ohio Suicide Prevention Foundation.
Consider enrolling as your institution/organization's champion to receive:
1) Recognition for your institution/organization's efforts to support students and improve school safety
2) Monthly status updates about your institution/organization's participation, as well as tips and ideas for implementing the Kognito simulations in your community.
Name
First
Last
Email
Your Title/Role
Phone Number
###
-
###
-
####
Phone Extension if needed
Name of School
Type of Institution
High School
Middle School
Elementary School
Combination High & Middle School
Higher Education
Organization
Other
If 'Other' Please Specify
County where school located
Approximate number of students enrolled at your school
Approximate number of staff members
Do Not Fill This Out