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Become a No Hit Zone
Enter an address, zip code or region for location, please select dropdown before submitting
P.O. Boxes Are Not Valid. Please enter region and select on dropdown
Zone Selection
Select Type of Organization(s)
(Required)
NHZ Homes
NHZ Schools
NHZ Organizations
Certified Advocates
First Name
(Required)
Last Name
(Required)
Email
(Required)
Phone
(Required)
Certified Advocates
Are you an Individual, Organization (Organizations can be both a zone and a certified advocate, or Both?
Individual
Organization
Both
If you also was to certify the name of your organization, What name of the organization do you want listed that is becoming a certified advocate of No Hit Zones?
Location Title
(Required)
P.O. Boxes Are Not Valid. Please enter region and select on dropdown. Please select dropdown before submitting
Enter Individual or Organization Location (please type and select the location from the dropdown)
(Required)
Date individual/organization decided to advocate for No Hit Zones
(Required)
MM slash DD slash YYYY
NHZ Organizations
Location Title
(Required)
P.O. Boxes Are Not Valid. Please enter region and select on dropdown. Please select dropdown before submitting
Enter Organization Location (please type and select the location from the dropdown)
(Required)
When was No Hit Zone established/implemented at your organization? (optional)
MM slash DD slash YYYY
What type of organization are you associated with? (Check all that apply)
(Required)
Children's Advocacy Center
Hospital
Youth Serving Organization
Medical Facility (Outpatient Clinic, etc.)
Government Office
Park
Religious Institution
Restaurant
Retail Location
Mental Health/ Counseling Agency
Library
House of Worship
Criminal Justice Agency
Juvenile Justice Agency
Airline
Other Option
Other organization you're associated with? (optional)
What barriers have you encountered or anticipate encountering in establishing a No Hit Zone?
(Required)
Cost of Signage and Parent Alternative Materials
Lack of Administration support
Staff resources to implement
Lack of staff support
Fears about negative feedback
Need for staff training
Other
Enter the barrier you are facing below.
(Required)
What concerns do you have about implementing No Hit Zone? (Optional)
Is your organization already a No Hit Zone (have policy and signage already in place)?
(Required)
Yes
No
Is your organization in partnership or being led by another organization or individual to become a No Hit Zone? (If yes, please answer with who).
(Required)
Yes
No
Who are you in partnership with?
(Required)
Please let us know a little about your No Hit Zone. Which of the following do you have?
(Required)
Signage
Organization Policy
Staff Training
Coalition
Evaluation
Would you like to share your signage and materials with others? If so, please upload your documents below, which may be added to the website. (optional)
Max. file size: 128 MB.
What assistance do you currently need?
Materials for Parents (Need Permission To Add Logo to Handouts For Parents)
Training On-Site
Training Via Zoom
Sample Policies
Sample Signage
Phone Consultation
Other - Explain below
Do you have any questions or concerns? (optional)
Which level best describes your No Hit Zone (NHZ)? (optional)
Level 1: Conceptional Phase: At least one person is starting to formulate a plan on how the organization can implement the NHZ concept, this lead person has discussed creating a NHZ with other colleagues within their organization, and/or have attended a NHZ presentation and/or established communication with other NHZs
Level 2: In Process: More than one person working on the concept, working on an implementation plan to develop materials and training, gained support for implementation from organizational leadership, and/or communication with other NHZs (e.g. listserve)
Level 3: Basic: Training underway for personnel, on-going training plan, and/or signage and other notification that the facility/organization is a NHZ
Level 4: Comprehensive: Established training of all staff and training for new staff., prominent signage and notification that the facility/organization is a NHZ, at least one person has NHZ as part of their job description, and/or community awareness that facility is a NHZ
Level 5: Regional: Established organized training of all staff and training for new staff, prominent signage and notification that the facility/organization is a NHZ, at least one person has NHZ as part of their job description, community awareness that facility/organization is a NHZ, provides outreach education about NHZ, enlists other organizations in the community/region to be a NHZ, resource center for NHZ, and/or leadership in prevention
How did you hear about the No Hit Zone initiative?
(Required)
NHZ Schools - Schools & Daycares
Please list the name of the school for the title
Location Title
(Required)
P.O. Boxes Are Not Valid. Please enter region and select on dropdown. Please select dropdown before submitting
School Address (please type and select the location from the dropdown)
(Required)
School being registered: (check all that apply)
Is in a state that bans school physical discipline (paddling)
Is in a school district that bans school physical discipline
Has a policy that bans physical discipline
Has No Hit Zone signage
Other
Type of school? (Check all that apply)
Early childhood (DayCare, Head start, Home nursery)
Elementary
Secondary (High School)
What do you think the impact of banning physical discipline has had on your school?
Your relationship to the school:
Superintendent Facility
Principal/ Head Master
Administrator
Faculty
Teacher
Counselor/Social Worker
Nurse
School Resource Officer
Advocate
Local Advocate
Parent
Other
Other (Relationship to the school)
NHZ Homes
Location Title
(Required)
P.O. Boxes Are Not Valid. Please enter region and select on dropdown. Please select dropdown before submitting
Enter Home Region (Address Not Required) (please type and select the location from the dropdown)
(Required)
How did you hear about the No Hit Zone initiative?
(Required)
What made you decide to become a No Hit Home?
(Required)
I have the ability or permission to declare this home location and name a zone.
(Required)
I Confirm
Name
This field is for validation purposes and should be left unchanged.