Program Interest Form

Thank you for your interest in Planned Parenthood Mar Monte's Education Programs! Please complete this form to let us know which programs and services you'd like to learn more about.


PPMM Education Programs:


* PPMM Sex Ed: Online courses for middle and high school students, aligned with the California Healthy Youth Act (CHYA).


* Sex Ed Kits: Submit this form to request a kit for your site. Kit options include:

  • STI and unintended pregnancy prevention tips
  • Communication tips
  • Birth control and sexual health care access info
  • Condoms OR period products
  • Stickers or other fun items (if available)


* Volunteer Opportunities: Become a peer educator or youth designer.


* Community Partnerships:

 
 
 

Please write out the full name of your organization - do not use acronyms.

 
 
Phone
 

(If applicable)

 
 

Select the County where you mainly operate out of or want to implement PPMM programs.

 
 
 
 
 
 
 

Sex Ed Kits

Submit this form to request a kit for your site.