Hello School Contact!

Thank you for partnering with LifeChoices Health Network to provide sexual health and healthy relationship education to your students through the Compass Program. By completing this form, you are entering into an agreement with LifeChoices.

Please reach out to the LifeChoices Prevention Services Director, Chelsea Delgado, if you have any questions while filling this out.
(417)-623-0131
chelsead@choicesmedical.org

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* 1. Please carefully review your school's and your ability to fulfill this agreement before checking each of the following and committing to the agreement below.

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* 2. Please provide the name, title and email of the faculty member that will be communicating on behalf of your school to the Compass staff.

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* 3. Please type your full name as an electronic signature.

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* 5. Please provide the name, title, and email of the faculty member that handles invoices.

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* 6. Please let us know the best method for invoicing: