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Youth & Young Adult Education Request Form
Thank you for your interest in partnering with STAR to support your students’ social and academic development! We are excited to collaborate to achieve a shared goal of empowering youth with the tools to succeed in life and relationships.
Please complete this form so that we may follow up with you about our education services.
At this time, education trainings are not funded by a grant, so there is a charge depending on the curriculum and number of program participants.
School/Organization Info
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School/Organization Name
Ages or Grade Levels Served
Main Phone No.
Location
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Contact Person Info
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Name
Position
Email
Phone No.
Below, please indicate which options you would like to receive more information on.
Multi-session Curriculums for Youth
Safe Dates: Targeted at 9th and 10th graders to equip them with the tools necessary for engaging in healthy relationships, preventing abuse, and helping friends who may need support.
Shifting Boundaries: An evidence-based, multi-level prevention program for middle school students on sexual harassment and precursors to dating violence.
In order to positively and effectively impact students, our policy is to conduct at least four sessions from the grade-appropriate curriculum with any participating group of students. Program implementation is flexible depending on your school’s capacity and needs.
Curriculums are available for review and you or your administration may select the sessions that you feel would most benefit your students. Each session requires 45 minutes to an hour to conduct.
Single-session Presentations for Youth
Consent 101: This workshop will help students develop an understanding of consent through dialogue, discussion, and scenarios.
Dating 101: An interactive session that educates middle and high school students about dating violence and its positive alternative of healthy relationships.
Each of these sessions requires 1 – 1.5 hours to conduct.
Please provide any additional information about the participants and those you serve that will help us best meet your needs.
I understand that STAR charges a fee to provide these educational presentations at this time.
*
Please select
Yes
Budget
Please specify your current educational budget that we will need to work with so we can tell you what's available within your price range based on the number of program participants.