FLASH at UUCT

The FLASH curriculum is designed to prevent teen pregnancy, STDs and sexual violence, increase family communication, and improve young people’s knowledge about sexual and reproductive health.

Completing this survey will help us bring FLASH to you and your students. Even if you cannot attend the UUCT offering, please complete the survey and I will reach out about putting together an offering for you and your community.

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* 1. Parent/Guardian Name

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* 2. Youth's Name

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* 3. Email

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* 4. Phone

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* 5. Company/Organization

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* 6. Would your organization be willing or able to host additional FLASH series?

Yes

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* 7. FLASH at UUCT is currently scheduled for Saturdays at 1:30 pm starting March 2. Would a different day of the week work better?

Mondays between 4:00-6:00 pm

Tuesdays between 4:00-6:00 pm

Wednesdays between 4:00-6:00pm

Fridays between 4:00-6:00 pm

None of the above

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* 8. Before FLASH begins, would you be interested in attending a parent meeting to receive more insight on the curriculum and address any questions or concerns you have?

Yes

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* 9. If you know of any other company/organization that might be interested in FLASH, please list them below (organization, point of contact, phone number/email)