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* 1. Please fill out all of the fields.

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* 2. Please confirm that you are between the ages of 14 and 19.

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* 3. If you are under 18, please provide the name of a parent or guardian.

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* 4. Please provide an email address for that parent/guardian.

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* 5. Please provide your social media handles.

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* 6. How did you hear about the program? If someone referred you, please provide their name here.

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* 7. Which region are you applying to?

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* 8. What is the best time to call you to schedule an interview?

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* 9. Why would you like to participate in the Peer Education Program? (2-3 sentences)

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* 10. Why do you think you would be good at sharing these types of resources and information with other teens at your school and in your community? (2-3 sentences - and brag a little!)

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* 11. Please share 2 or 3 examples of issues in your own school/community that you think could be helped by access to accurate sexual health information.

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* 12. What days and times are you available to meet virtually for trainings and group meetings?

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* 13. What grade are you heading into?

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* 14. What does your return-to-school plan look like?

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* 15. What size t-shirt do you want?

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