KISS Application
You've made it to the application! Woo Hoo!

For the 2019 summer we will meet on Mondays from 12-4pm and Wednesdays at 12-3pm from June 19th – August 7th. We are accepting applications now until May 17th, 2019. Fill out the form below to apply.


If you have questions, please contact Katie Robinson by email at krobinson@familytreeclinic.org

First and Last Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
How would you prefer we contact you? (First Choice)
How would you prefer we contact you? (Second Choice)
Age *
Please indicate your race/ethnicity below. (This question is totally optional! Family Tree is an organization that values racial equity and justice, and because of this, we want the KiSS cohort to reflect that. Gathering this information helps us build a group that is accessible to indigenous people and people of color.)
Your answer
Gender Pronoun(s) - For example, he/him, she/her, ze/zim, they
Where did you hear about this program?
Your answer
Why are you interested in joining a peer sex ed program? (answers should range from a paragraph to a page)
Your answer
Have you had any previous sex education? If so, what topics were discussed, how old were you, and where/ from whom?
Your answer
Is there anything you would like us to know to better support you in the KISS program?
Your answer
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