LBR Interest Form
Every day, young people navigate relationships - crushes, breakups, sexuality, firsts, and hookups - but they don’t always have the space to talk about them, learn about them, or share their experiences and educate others. Let’s Be Real creates that space. Grounded in our belief that everyone deserves a healthy relationship and everyone can take action in their own way, we amplify the voices of young people ages 12-24.
Let's Be Real provides you with online and in-person opportunities to have real conversations about your experiences, tap into your creativity, and apply your individual gifts and talents towards building a culture without abuse. Please fill out this form so that we can get to know you as well as to connect you to resources, events, and opportunities.
*Responses are used to best match young people with projects and their information is not shared beyond BTC staff*
How did you hear about us?
How would you describe yourself? (Some projects are looking for specific populations, ex: an LGBTQ group may be looking for a nonbinary speaker for their conference)
Heterosexual or Straight
Prefer not to say
Do you identify as transgender?
Prefer not to say
I identify my ethnicity as.. (This will help us inform our work and better serve our communities)
Prefer not to answer
Date of Birth:
LBR is a space for students 12-24. Please tell us your age:
Location: (City, State)
Best days/ times to contact you?
Can we follow up with you? If so, what is the best way to contact you? (check all that apply)
please don't contact me. I'd like to follow along on my own via social media.
Most used Social Media Platform: (Pick one, we want to learn what platforms young people are using the most at the moment)
Topics that interest you:
In Person Peer-Education / Training & Educating peers
Social Media & Digital Educators
Policy & Legislative Advocacy
Adult Education (Technical Assistance) / Training & Educating Adults
Outreach & Awareness Campaigns (such as Teen DV Month & Sexual Assault Awareness Month)
Speakers / Youth Survivor Speakers Beaurau
Tool & Resource Development
Social Media Content Creators (Social Media posts, blog, website, etc.)
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This form was created inside of Break the Cycle.