TUPE Presentations Request
To ensure we understand your district/school needs, please complete this form when requesting the Santa Clara County Office of Education (SCCOE) Tobacco Use Prevention Education (TUPE) Services. If you would like assistance completing this form, please contact Alison Medeiros at AMedeiros@sccoe.org.

The SCCOE TUPE staff offers general education/awareness on vapes, nicotine, tobacco, and marijuana, in English or Spanish.

Instructions: * A new form must be completed for each presentation requested.*

Answer the items below, to the best of your ability.

The contact person noted will be notified via email indicating the status of the request within approximately one (1) week. If additional information is needed/questions arise, a TUPE representative will reach out accordingly.

Please be advised all requests will be fulfilled based upon the SCCOE TUPE Personnel availability.

Thanks, in advance, for taking the time to provide this necessary information.

~ The TUPE Staff
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