Adolescent Sexual Health Presentation Request Form
Big Brothers Big Sisters of the Greater Twin Cities offers FREE comprehensive adolescent sexual health educational presentations for youth of color* ages 12-19. The objective is to provide youth with medically accurate sexual health information so that they can make informed decisions with the goal of positively impacting their future. Each youth will receive a hygiene kit at the end of the presentation.

*Note: Our grant requires that at least 75% of youth must be youth of color, and an overview of STIs and contraceptives must be part of the presentation.

**Note: Our grant also requires that evaluations be administered after the end of the presentations.

***Note: We would like to provide your students with enough time to explore the topics in depth. Therefore, we have included time ranges below for each topic for you to take into consideration when choosing topics.
Please check the presentation topic(s) you would like covered in addition to Sexually Transmitted Infections [STIs] & Contraceptives *
Required
Condom Demonstration *
Condom demonstrations are normally a part of the STIs and contraceptive presentation unless otherwise indicated by checking the last box below.
Required
What are your preferred dates/times of the presentation? Please provide at least two options. *
Your answer
What length of time is available for the presentation? *
Your answer
Number of youth: *
Your answer
Age of youth: *
*Youth must be between the ages of 12-19
Your answer
Gender of youth (please check all that apply): *
Required
Race/Ethnicity of youth (please check all that apply): *
*at least 75% of youth must be youth of color
Required
Contact Name *
Your answer
Organization: *
Your answer
Contact phone: *
Your answer
Contact email: *
Your answer
Location and address of presentation: *
Please include phone number on the presentation day if different than above.
Your answer
Comments:
Your answer
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