Submit Your Member Profile "*" indicates required fields Step 1 of 5 20% MEMBERName* First Last Email* Enter email Confirm email Title*PRONOUNS:*Position Funding Source* Title V/Maternal and Child Health block grant State general funds PREP grant SRAE grant Other Position Funding Source Other Position Funding Source (write-in):* LOCATIONSTATES*ALAKAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVIVTVAWAWVWIWYREGION*Reg 1 (CT, MA, ME, NH, RI, VT)Reg 2 (NJ, NY, PR, VI)Reg 3 (DC, DE, MD, PA, VA, WV)Reg 4 (AL, FL, GA, KY, MS, NC, SC, TN)Reg 5 (IL, IN, MI, MN, OH, WI)Reg 6 (AR, LA, NM, OK, TX)Reg 7 (IA, KS, MO, NE)Reg 8 (CO, MT, ND, SD, UT, WY)Reg 9 (AZ, CA, HI, NV, and Pacific Island territories)Reg 10 (AK, ID, OR, WA) ROLEROLE: SAHC Co-SAHC Acting SAHC SAHC supervisor Other AH program staff Location in DOH:* Title V/Maternal and Child health Women's Health Chronic Disease Other Location LOCATION IN DOH (OTHER):* GRANTS & NPMs MANAGEDNPMs Managed* NPM #7: Hospitalization for a non-fatal injury NPM #8: Physical activity NPM #9: Bullying NPM #10: Adolescent Well Visit NPM #11 Medical home NPM #12 Transitions None Grants Managed* Title V/MCH block grant (overall) Title V/MCH block grant (AH specific components) PREP SRAE RPE Other Grants (write-in) None OTHER GRANT(S) MANAGED (Write-in):* AREA(S) OF EXPERTISEExpertise/Responsibilities*Your job responsibilities and your superpowers aren't necessarily the same thing, but we want to know both! Please claim all that apply. Abstinence education Coordination of adolescent health data (such as YRBSS) Health care Health equity Healthy relationships Immunizations Injury prevention Mental health Nutrition/physical activity Positive Youth Development Rape and sexual/dating violence prevention Risk and protective factors (resilience | strengths | assets) School health School-based health centers Sexuality education Social determinants of health STIs/HIV/AIDS Tobacco use/smoking cessation Strategic planning/implementation Substance use/abuse Suicide prevention Teen parenting Teen pregnancy prevention Obesity prevention Violence prevention Youth engagement Youth leadership/YABs Youth with special health needs
