We are currently full of applicants for the 2010 - 2011 school year. Please complete the information below to be placed on our wait list. Thank you!

	Program Overview
	Activity Description
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	Alan D. Laff Scholarship

"I’m proud to be part of the foundation that brought 9Health Fair to Colorado communities. It gives me a great sense of purpose, particularly in the rural communities. I’m the lucky one. I get back far more than I give."

Karen Zink, Durango CO
9Health Fair volunteer since 1980

"My mom and I went to the 2006 9Health Fair at Aims Community College in Greeley, CO. I hadn't been feeling well so my sister-in-law urged me to go.We went on a Sunday, and that Tuesday I got a call from a nurse who informed me that my thyroid level was less than .01 and that I needed to contact my doctor. I did so right away and had further tests run. I was diagnosed with hyperthyroid and through additional tests, learned that I was suffering from Graves’s disease. Had I not gone to the 9Health Fair, I believe I still would have been seeking help. I am feeling so much better and on the way to recovery. Thank you 9Health Fair staff and volunteers!!!"

Terri Thomas, Loveland CO
9Health Fair participant

School Application

School Name

School Phone

School Fax

Password

We are offering resources through our Web Site. As a part of the online registration, you must enter a password.

Primary Contact Name

Primary Contact Role

Primary Contact Email

Secondary Contact Name

School Address

City

State

County

Zip

Grade Level

Number of Students

Have you held a 9Health Fair at your school in the past?

What year(s)?

I commit to hosting at least three practice sessions for the students between our training date and our fair date

Our In the Classroom Shepherd program invites skilled volunteers to join us at our trainings for select schools and help out with their fairs. If we can match you with one, would you be interested in having a Shepherd help you? All Shepherds have completed background checks.

Desired Fair Date (training date will be approximately 4-6 weeks prior to the fair date)

In an effort to increase our community outreach we are trying to track the 9Health Fair Student Program demographics. Please take the time to fill out the information below.
Ethnic Breakdown of Students (percentage):

American Indian or Alaska Native

Black or African-American

Asian or Pacific Islander

Hispanic, Chicano, Mexican-American, or Latino

White, not of Hispanic origin

Other Name

Other Count

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