Sexual Health Educator Program Scholarship Request Form

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This form is for folks who need a scholarship to participate in V-SHEP 1.0. Please respond to the questions below and we will get back to you within 48 hours. Please be sure to indicate what amount (if any) you and/or your organization are able to contribute to the cost of registration.

If you have questions, email us at Professional.Development@pprm.org.

Email *

First + Last Name *

School District/Organization | City, State *

Please estimate the number of youth that you do or will provide sex education to annually. *

Briefly describe your background in working with youth and/or sexual health education. *

If you're currently using a purchased curriculum, please provide the name of the curriculum below.

If you are not using a purchased curricula, please indicate which of the following topics you do (or will) cover:

Abstinence

Affirmative Consent

Anatomy

Contraceptive Methods

Effective Communication Skills

Healthy Relationships

Puberty

Refusal Skills

Sex and Technology

Sexual Orientation and Gender Identity

Sexually Transmitted Infections

Other:

Please indicate the amount of money (if any) that you and/or your organization is able to contribute toward the fee. *

RSEI trainings are designed for youth-serving adults who do or will provide comprehensive sex education. *

I support comprehensive sex education.

I do not support comprehensive sex education.

Please include any additional information you want us to have here!

Send me a copy of my responses.

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