PECAY Study application
You may be eligible to participate if:

- You are a Somali youth between the ages of 13 – 18 years, or
- The parent/guardian of a Somali youth age 13 - 18
- You do not plan to move to another state / country in the following year.
Sign in to Google to save your progress. Learn more
Are you a Somali youth or a parent/guardian of one? *
First name *
Last name *
Email address *
Phone number
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities. Report Abuse