Champion of Change! TRY Membership
Please complete the following set of questions. Thank you for your interest.
Wanda Boone
wanda.durhamtry@gmail.com

DON'T FORGET TO CLICK SUBMIT!

Working Together
ABOUT YOU
First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Email *
Your answer
Address *
Example: 100 Main St
Your answer
City *
Your answer
State *
Your answer
Age *
Let us know what else you would like to do!
1 Provide Information: *
Educational presentations, public service announcements, monthly newsletter
Required
1. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
2 Enhance Skills *
Workshops, to increase the skills of participants
Required
2. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
3 Provide Support: *
Support people participating in activities that reduce risk (providing alternative activities, mentoring, referrals, support groups or clubs)
Required
3. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
4 Enhance or reduce access & barriers: *
Improve systems to increase the ability to utilize systems (childcare, transportation, housing, education)
Required
4. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
5 Change consequences: *
Increase or decrease behavior (e.g., increasing public recognition for deserved behavior)
Required
5. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
6 Change or Modify Physical Design: *
Address signage, lighting and outlet density
Required
6. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
7 Modify and or Change Policy: *
Formal change in written procedures, bylaws, proclamations, rules or laws
Required
7. I am able to assist by:
Please indicate what you will do and/or who you can engage.
Your answer
Would you like to receive the TRY Prevention Newsletter?
Newsletter sign up!
Your support is welcome!
Questions and comments
How can we assist you?
Your answer
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