Join Our Team

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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Have you ever been accused or convicted of a crime or violation other than a minor traffic infraction? *

Yes

No

Have you ever been subject to disciplinary action, suspended, terminated, or asked to leave a job or volunteer position by an employer or non-profit organization on the grounds that you engaged in child sexual abuse or neglect, or other unlawful behavior, or on the grounds that you violated an employer's sexual misconduct or harassment policy? *

Yes

No

The following topics are covered in our curriculums. Please check 3 topics that you are most comfortable covering.

Self-Respect

Communication

Conflict Resolution

Personalities

Social Meida

Sex vs. Intimacy

Boundaries/Consent

STD's, Pregnancy

Sexual Violence

Abstinence

Friendships

Family Dynamics

Mental Health

Stress

Future Decisions

Please check any topics you are not comfortable covering

Self-Respect

Communication

Conflict Resolution

Personalities

Social Media

Sex vs. Intimacy

Boundaries/Consent

STD's, Pregnacy

Sexual Violence

Abstinence

Friendships

Family Dynamics

Mental Health

Stress

Future Decisions

[Please select which days and sessions you would be available to speak] Our High School Presentations are typically scheduled as follows: (2 consecutive days): MONDAY-TUESDAY or TUESDAY-WEDNESDAY

TYPICAL MORNING SESSION: 7:45-11:30 or 9:00am-12:00am TYPICAL AFTERNOON SESSION: 12:00-2:45 or 12:30pm-4:00pm Parochial and Private Schools are typically scheduled as a 1 hour session or a 2 hour session versus whole days. All of our schools vary in time schedules. Surrounding county schools also vary in start and end times.

Monday/Tuesday Morning Session

Monday/Tuesday Afternoon Session

Tuesday/Wednesday Morning Session

Tuesday/Wednesday Afternoon Session

[Please select which days and sessions you would be available to speak] MIDDLE SCHOOL (1 day): MONDAY or THURSDAY

TYPICAL MORNING SESSION: 7:45-11:30 or 9:00am-12:00am TYPICAL AFTERNOON SESSION: 12:00-2:45 or 12:30pm-4:00pm Parochial and Private Schools are typically scheduled as a 1 hour session or a 2 hour session versus whole days. All of our schools vary in time schedules. Surrounding county schools also vary in start and end times.

Monday Morning Session

Monday Afternoon Session

Thursday Morning Session

Thursday Afternoon Session

Reference #1

First Name

Last Name

Phone

(###)

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Reference #2

First Name

Last Name

Phone

(###)

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Reference #3

First Name

Last Name

Phone

(###)

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