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Participant Application
Developing Adolescent Sexual & Reproductive Health Programs
English
TBA in 2008
US $4500
This workshop offers health and social service providers the skills to develop strategies and programs that address adolescent health issues such as substance abuse, sexual abuse and exploitation, teen pregnancy and sexually transmitted infections (STIs), including HIV, and self esteem and suicide.
All fields marked with a
*
are required:
First Name
*
Last Name
*
Sex
*
Female
Male
Nationality
*
Languages
*
Present Position
*
For How Long
Name of Organization
*
Mailing Address 1
*
Mailing Address 2
City
State or Province
Postal Code
Country
Telephone
*
Home Telephone
Fax
Email
*
Education
Work Experience
Objectives of this workshop
Participants make presentations about their country, and their work, and develop a plan that can be implemented countries. We recommend that participants bring relevant documents and materials to be shared with the group.
Sponsoring Agency
Participants require sponsorship for all expenses related to the course. Once sponsorship has been obtained, please ask your sponsor to send us a letter of financial certification. If you have difficulties in obtaining a sponsor please visit our
list of potential sponsoring agencies.
Sponsoring Agency
*
Yes
No, I do not presently have a sponsor.
Name of Sponsoring Agency
Sponsor Address 1
Sponsor Address 2
Sponsor City
Sponsor State or Provence
Sponsor Postal Code
Sponsor Nation
Sponsor Contact
Sponsor Telephone
Sponsor Fax
Sponsor Email
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