Toledo – Join The Peer Education Program!

Are you age 14-19 AND interested in educating your friends about safer sex and reducing teen pregnancies? Do you need community service hours for graduation?

Join the Peer Education Program!

The Peer Education Program uses the natural leadership skills of teens to educate their peers and communities about healthy relationships, responsible sexual behaviors, and general reproductive health. Planned Parenthood of Greater Ohio is looking for mature, dedicated, teen men and women to be change agents in your area. If that’s you, please complete the application below!

Your Name:

Address:

Address 2:

City:

State:

Zip Code:

The best phone number at which to reach you:

Type:
 Cellular Home Phone Parent/guardian's Number

Another number at which to reach you:

Type:
 Cellular Home Phone Parent/guardian's Number

*When we contact you, we will identify ourselves as Planned Parenthood of Greater Ohio.

Your Email:

*Please make sure the email address listed is checked frequently. We may contact you via email with additional information about the Peer Education Program.

Facebook Name:

Please Answer the Following Questions:

1. Why would you like to participate the Peer Education Program? (2-3 sentences)

2. Why do you think you would be a good mentor to other teens in your school/community? Briefly describe yourself. (2-3 sentences)

3. Based on your experience in your school/community, please share why you think a Teen Pregnancy Prevention Program is necessary in your school/community (5-10 sentences)

Please indicate when you are available outside of school:

Day

Time

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

If you are in a school-based program, please indicate your class schedule:

1st period

2nd period

3rd period

4th period

5th period

6th period

7th period

8th period

9th period

10th period

Other