Introduction

Thank you for your interest in participating in the
2018 Healthy Youth Survey (HYS)!

Please complete one online registration form per school. Upon completion, a registration confirmation email with the information you provided will be sent to you, the Principal, the Survey Coordinator and the Back-up Survey Coordinator. You cannot print or save responses.

If you have any questions about the 2018 HYS registration, please email Susan Richardson at SurveyAdmin@AskHYS.net

Or if you have other HYS questions, please call tollfree (877) HYS-7111 or email healthy.youth@doh.wa.gov

If you would like a paper version of this registration to send in by mail or fax, please email SurveyAdmin@AskHYS.net

* Please note that survey administration must be conducted in a standardized manner in all relevant classrooms to ensure that student participation is voluntary and anonymous, to protect the rights of students and parents, and to ensure that the data collected are of the highest possible integrity.

Your Contact Information

This online registration is being completed by:

Register a School

Central Park Elementary

Does this school want to participate in the 2018 HYS?

By selecting "Yes", you agree to administer the 2018 HYS and follow all of the required procedures.

School Information

Please provide the school's shipping information
(The person and the address you want the survey questionnaires to be sent)

School SHIPPING Address (NO PO BOXES please):

Please provide contact information for the school's Principal.

Participation Agreement

By registering to participate in the HYS 2018, I agree that this school will follow all survey requirements and instructions:

(please check ALL of the requirements)

I agree to notify parents about the survey with the approved survey notification letter by September 24, 2018:

(please check AT LEAST ONE method of notification)

I agree to notify students about the survey with the approved survey notification letter by September 24, 2018:

(please check BOTH notification methods)

I agree to VERIFY online that parents and students have been properly notified by September 24th using the link I will be emailed. Survey questionnaires WILL NOT BE SHIPPED until online verification is complete.

Web Address

What is the web address to the school's web site where 2018 HYS information and survey notification letter will be posted?

Survey Coordination

Primary Survey Coordinator

Please provide the name of the person coordinating the survey administration for the school. The surveys and administration materials will be sent to this person.

Back-Up Survey Coordinator

Please provide the name of the person coordinating the survey administration for the school. The surveys and administration materials will be sent to this person.

Student and Classroom Information

How many students do you expect to be enrolled in each grade level in Fall 2018?

Please note that we need this information to provide you with enough copies of the survey for each student and enough administration packets for each classroom. It is very important for these numbers to be as accurate as possible.

How many classrooms do you expect to have in those grades?

Please estimate the number of classrooms or settings the survey will be given.

Reports of Results

Do you want a report of the results?

Reports of results will be generated for schools with 15 or more valid completed surveys in a given grade level, unless otherwise indicated here. Reports will be sent to the district superintendent.

Submit Registration Form

Please hit SUBMIT to complete this school's registration form.

Thank You!

Decline Participation

To decline this school's registration for the Healthy Youth Survey, please hit the SUBMIT button.

If you do wish to participate, hit the Previous button to go back and start the registration form.