Business/Organization: Contact Person Name: Contact Ph
Business/Organization: ____________________________________ Contact Person Name: ____________________________________ Contact Phone: ____________________________________ Contact Email: ____________________________________ Interested in learning about (check all that apply):
Snack Policy/Guidelines Healthy Fundraising Healthy Hosting Park Farther/Walk More Signs Local Fare/Lighter Fare Breastfeeding Friendly Environments Worksite Wellness/Wellness Committees Nourish Your Neighbor: Healthy Food Drives Other ____________________________
Not interested at this time
Already Implementing (check all that apply):
Snack Policy/Guidelines Healthy Fundraising Healthy Hosting Park Farther/Walk More Signs Local Fare/Lighter Fare Breastfeeding Friendly Environments Worksite Wellness/Wellness Committees Nourish Your Neighbor: Healthy Food Drives Other ____________________________
Not interested at this time
Additional comments: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Return To: Cornell Cooperative Extension of Jefferson County 203 N. Hamilton Street Watertown, NY 13601 April Bennett, Nutrition Educator [email protected] or 315-788-8450 ext. 265 Fax: 315-788-8461 Cornell Cooperative Extension is an employer and educator recognized for valuing AA/EEO, Protected Veterans, and Individuals with Disabilities and provides equal program and employment opportunities.
Snack Policy/Guidelines Healthy Fundraising Healthy Hosting Park Farther/Walk More Signs Local Fare/Lighter Fare Breastfeeding Friendly Environments Worksite Wellness/Wellness Committees Nourish Your Neighbor: Healthy Food Drives Other ____________________________
Not interested at this time
Already Implementing (check all that apply):
Snack Policy/Guidelines Healthy Fundraising Healthy Hosting Park Farther/Walk More Signs Local Fare/Lighter Fare Breastfeeding Friendly Environments Worksite Wellness/Wellness Committees Nourish Your Neighbor: Healthy Food Drives Other ____________________________
Not interested at this time
Additional comments: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Return To: Cornell Cooperative Extension of Jefferson County 203 N. Hamilton Street Watertown, NY 13601 April Bennett, Nutrition Educator [email protected] or 315-788-8450 ext. 265 Fax: 315-788-8461 Cornell Cooperative Extension is an employer and educator recognized for valuing AA/EEO, Protected Veterans, and Individuals with Disabilities and provides equal program and employment opportunities.
