AHWG - Collective Impact - Funding HIV/HCV/STD Services for Homeless Youth in San Francisco
Hello Providers -- Please assist your clients in completing this form. The Adolescent Health Working Group is hosting a monthly meeting to examine HIV/HCV/STD services for homeless youth in San Francisco. AHWG is offering a $100 gift card to each homeless youth participant up to age 24 (to the first 16 participants who sign up). Youth participants will be in a meeting room with other community-based providers and are expected to engage and contribute to the dialogue. Youth are required to stay for the duration of the meeting to qualify for the stipend. A youth who shows up without being pre-registered is welcome to participate in the meeting, but may not qualify for the gift card. A catered lunch will be provided for all meeting participants.

Note: While limiting, meeting participants are required to be sober for the duration of the meeting and must be able to communicate and understand the meeting content, which will be delivered in English. Registration for youth participants for the December 19 meeting will be open until 11:59pm on Tuesday, December 17.

Read more about the project here: https://ahwg.org/2019/10/collective-impact-and-strategic-planning-process-a-focus-on-sexual-and-behavioral-health-services-overdose-prevention-for-homeless-youth-young-adults-in-san-francisco/

If there are any questions, please contact Adam at adam@ahwg.org.
Please select the meeting date below: *
First Name - Youth Participant *
Your answer
Last Name - Youth Participant *
Your answer
Age - Youth Participant *
Your answer
How long have you been (or were) homeless (approximately how many months)? *
Your answer
Please briefly describe what HIV services you have accessed in San Francisco (testing, treatment, counseling, therapy, etc.). Please mention who were your providers. Be as thorough as possible. *
Your answer
Please briefly describe what HIV services you are aware of in San Francisco (testing, treatment, counseling, therapy, etc.). In other words, what services have you simply heard of? Please mention any providers. Be as thorough as possible. *
Your answer
Which San Francisco districts/neighborhoods do you typically frequent? *
Your answer
Are you presently homeless? *
Full name of person completing form. *
Your answer
Email of person completing form. *
Your answer
Phone number of person completing form. *
Your answer
Role and organization of person completing form. *
Your answer
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