Protect Students and Help Them Thrive
To partner with us to bring JED to your High School or District, please fill out the information below and the JED team will be in touch.
First Name
Last Name
Email
I am a:
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high school educator
high school student
parent/guardian
mental health clinician
corporate/non-profit leader
other
Phone Number
School District
School Name
School Address
Enter only the street address here.
School Address Line 2
City
State
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AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
School Type
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Independent school
Parochial school
Public school - district
Public school - charter
Boarding school
How familiar are you with the JED High School program participation components?
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Very familiar
Somewhat familiar
Not familiar at all
Are you ready to sign up for the JED High School program?
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Yes, I am ready to sign up
I am highly interested, but not quite ready to sign up
I would like to learn more before signing up my high school
Where did you hear about JED High School?
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JED Newsletter
JED Website
News Article
Social Media (Twitter, LinkedIn, Facebook, Instagram)
United Educators (UE)
Webinar/Presentation
Word of Mouth/Referral
Other
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