Education and Training Request

Planned Parenthood Pasadena and San Gabriel Valley educators provide a wide range of training and education services including:

Professional development for teachers and youth-serving professionals, including trainings through the California Department of Public Health/CA Department of Education Sexual Health Educator (SHE) Training Program.
Presentations for youth and adults ages 10+ with specific focus on youth in foster care.
Parenting/caretaker workshops on how to communicate with youth.

Please tell us a little bit about yourself and your organization in the fields below and we will get back to you as soon as possible. We recommend submitting your request a minimum of one month before the preferred date of the event/presentation.

Education and Training Request

IN WHICH CITY WILL THE EVENT/PRESENTATION TAKE PLACE? * (If you are in Los Angeles County and your city is not on this list, please email: [email protected]) *

ORGANIZATION OR GROUP NAME *

ORGANIZATION/GROUP ADDRESS *

ORGANIZATION/GROUP WEBSITE *

CONTACT PERSON’S NAME *

CONTACT PERSON’S PRONOUNS

CONTACT PERSON’S TITLE *

EMAIL *

PHONE *

TYPE OF REQUEST *

REQUEST DETAILS (TIME/DATE): *

If there is a specific date and time for the event/presentation please list that information in the “request details” box above. Please be as detailed and specific as possible. (For example, “the event is on May 5th, from 12pm to 3pm” or “we would like the presentations for our students before the end of July. I teach 3 periods of 9th grade classes on Mondays and Tuesdays from 9am to 12pm.”)

ADDRESS OF EVENT/PRESENTATION: *

FOR PRESENTATIONS, PLEASE TELL US ABOUT WHAT YOU WOULD LIKE COVERED OR ACCOMPLISHED (e.g. STIs, birth control, healthy relationships, LGBTQ 101, etc.)

IN WHICH LANGUAGE WOULD YOU LIKE THE PRESENTATION? *

HOW MANY PEOPLE WILL BE ATTENDING THE PRESENTATION/EVENT? *

Please provide a rough estimate.

TELL US MORE ABOUT THE AUDIENCE (AGES, ACCOMMODATIONS, AND OTHER RELEVANT INFORMATION): *

WHAT ELSE WOULD YOU LIKE TO TELL US ABOUT YOUR REQUEST? *

We will respond in 1-3 business days to coordinate. If you have further questions, please email: [email protected]. Thank you!

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Education and Training Request

Education and Training Request

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