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YEAH! Peer Leader Application
YEAH! trains young Gay, Bisexual, & Queer men (ages 18-24) to be Peer Leaders & Educators to prevent new HIV infections in the Midlands of South Carolina.
If you have any questions please contact yeahcolumbia@gmail.com
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May we contact you at the following?:
*
Phone
Email
Address
Please check at least one option
Do you currently attend school?
*
No
Yes, I attend: (please list school)
Do you identify as male?
*
Yes
No
Sexual Orientation:
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Gay
Bisexual
Queer
If other, please specify:
T-shirt Size:
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YL (Youth Large)
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M
L
XL
XXL
How did you hear about YEAH!?
*
Why are you interested in joining YEAH!?
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What do you expect to gain from YEAH!?
*
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YEAH! - Youth Empowered Against HIV! is a project of the Harriet Hancock Center Foundation and is funded by a grant from the Central Carolina Community Foundation and AIDS United.
www.yeahcolumbia.org