WWE New Class Enrollment

WWE New Class Enrollment

Please use this form to create a new WWE class in the portal for your participants to enroll to.

Are you trying to set up a new Walk With Ease class at this time?*

Yes

If you are not trying to set up a new class at this time but maybe have some questions. Please use the link below to fill out a technical assistance request so we can reach out and help you.

https://app.smartsheet.com/b/form/35c72ad47b2f48d8833cc86729e224a7

First and Last Name*

Email*

Entity*

Please select the organization you work for

Select

County*

please indicate the counties you will be providing the class

Select

Tell us what this group will be called*

This will be the group name the participant will need to choose when enrolling in the Walk With Ease statewide portal

What is the tentative class start date*

What is the tentative class end date*

At maximum, how many people do you want to allow to register?*

This will not allow any additional participants once the maximum class size is reached. This number will also serve as the number of books the portal will set aside for your group.

What types of books will you need for your participants? (choose all that apply)*

Select

Please provide the number of physical books needed for your class

Please provide the number of electronic books needed for your class

WWE Program Types

Please use the information below to help us understand what class you will be providing.

Self Directed:

Participant uses portal to complete the program and program pre/post assessments on thier own.

No coach or inperson elements provided.

Participants receive education in portal on thier own.

Self Directed Enhanced:

Participant uses portal to complete program and program pre/post assessment.

Coach meets in-person 1-2 times per week over 6 weeks at a designated location.

Coach and portal provid educaton to participants

(Pre and post assessments can be facilitated by coach in paper form if necessary)

Community Groups (no portal):

Participant completes program and program pre/post assessment with help from coach in person (can also use the portal).

Coach meets in-person 2-3 times per week over 6-9 weeks (18 in-person meetings total) at a designated location.

Coach provides all portal education.

Which WWE program will be offered

If you do not know, please provide some additional context in the program details box below around your roll out that might give us an idea on which program you will be offering

Self Directed

Self Directed -Enhanced

Community Group

Program Details*

please use this box to provide any nuance or adaptations you might need to accomidate your group. We can reach out to trouble shoot any version you might be rolling out for your participants.

How will your participants be filling out thier pre and post assessments?

WWE portal

Paper Forms

Form link provided to participant via text or class ipad

Send me a copy of my responses

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