Teen Talk Foster Youth | Sex Ed Series Enrollment

Requirements for participating youth:

Participants need to...

Be in foster care in California (ie. youth has social worker and/or suitably placed through probation)
Be between the ages of 12 - 17, or 18 and enrolled in high school
Have access to Zoom (headphones recommended for added privacy)
Have a non-school related email to receive series information and reminders

Here is the schedule of our upcoming and available Teen Talk: Foster Youth online sex education series. Please select the option that works best with your schedule.

[OPEN] Winter Series - February 2025

Duration: Two weeks, Monday - Friday

Meeting Dates: 2/17, 2/18, 2/19, 2/20, 2/21 & 2/24, 2/25, 2/26, 2/27, 2/28

Meeting Time: 5:00 PM - 6:00 PM

Please complete this form thoroughly and carefully.

Which Teen Talk: Foster Youth series are you enrolling in?

Select a Teen Talk: Foster Youth series

Applicant Information

What is your relationship to the young person being enrolled? Please provide additional information about yourself.

I am:

Applicant First Name

Applicant Last Name

Applicant Phone Number

Applicant Email Address

How can we reach you?

Would you like to be added to an email list to be notified of future Teen Talk: Foster Youth workshop series?

YesNo

How did you hear about this program?

How Many Youth Are You Enrolling? You may enroll up to 3 for the same program at once.

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First Youth Participant

Youth Information

Who is enrolling in the Teen Talk: Foster Youth program? Please provide the youth participant's information.

Youth Legal First Name

Youth Legal Last Name

Youth Email

If possible please do NOT provide a school email, because our emails might not get to you.

Youth Phone Number

Thank you for your interest in enrolling in the Teen Talk: Foster Youth program! We need a little more information from you to complete your enrollment.

Youth Preferred First Name

Provide youth's preferred first name if different than youth's legal first name

Youth Preferred Last Name

Provide youth's preferred last name if different than youth's legal last name

What county does the youth live in?

Youth Age

Social Worker Information

Who is the enrolled youth's Social Worker? Please provide their contact information.
If the youth does not have a social worker, you may enter their probation officer's information in the fields below instead.

Social Worker's First Name

Social Worker's Last Name

Social Worker's Email Address

Social Worker's Phone Number

Thank you for enrolling a youth in the Teen Talk: Foster Youth program! We need a little more information from you to complete your enrollment.

Social Worker's County

Second Youth Participant

Who is the second youth you are enrolling in the Teen Talk: Foster Youth program? Please provide the youth participant's information.

Youth Legal First Name

Youth Legal Last Name

Youth Preferred First Name

Provide youth's preferred first name if different than youth's legal first name

Youth Preferred Last Name

Provide youth's preferred last name if different than youth's legal last name

Youth Age

Youth Email

If possible please do NOT provide a school email, because our emails might not get to you.

Youth Phone Number

What county does the youth live in?

Who is the second enrolled youth's Social Worker? Please provide their contact information.
If the youth does not have a social worker, you may enter their probation officer's information in the fields below instead.

Social Worker's First Name

Social Worker's Last Name

Social Worker's Phone Number

Social Worker's Email Address

Social Worker's County

Third Youth Participant

Who is the third youth enrolling in the Teen Talk: Foster Youth program? Please provide the youth participant's information.

Youth Legal First Name

Youth Legal Last Name

Youth Preferred First Name

Provide the youth's preferred first name if different than youth's legal first name

Youth Preferred Last Name

Provide youth's preferred last name if different than youth's legal last name

Youth Age

Youth Email

If possible please do NOT provide a school email, because our emails might not get to you.

Youth Phone Number

What county does the youth live in?

Who is the third enrolled youth's Social Worker? Please provide their contact information.
If the youth does not have a social worker, you may enter their probation officer's information in the fields below instead.

Social Worker's First Name

Social Worker's Last Name

Social Worker's Email Address

Social Worker's Phone Number

Social Worker's County

Thank you for your interest in our Teen Talk: Foster Youth sex education series! Please click the "Register for Class" button below to submit your application.

We look forward to meeting you soon!

For Teen Talk: Foster Youth specific concerns or questions, please contact us at: focasio@pppsgv.org