Page 1

For Salesforce
This section must be entered for Salesforce connectors.
These fields must be hidden, participants will not see this section.
Use the Default Value field under "Options" to enter the value for all participants

Program or Project (enter the program or project the form is associated with)

Program Cohort (enter exact cohort name from Salesforce)

Form Name (enter the exact form name in Form Assembly)

Sex Ed for All: How GCAPP Takes a Stand Webinar

Wednesday, May 13th from 5:30-6:30pm

Virtual- Zoom

Join GCAPP and SIECUS for a powerful webinar on Georgia's Sex Education Policies, the importance of Parent Voice, and Moving the Conversation from Action to Advocate! This powerful webinar will leave you with more knowledge and tools to feel better equipped to advocate for comprehensive sex education in your communities!

Your responses are confidential and will be kept private to the fullest extent allowed by law. Any personal information you provide, including your name and email address, will be securely stored and used only by GCAPP for purposes related to this survey and follow-up communication. Individual responses will not be shared publicly.

By providing your contact information, you consent to GCAPP contacting you with information about programs, resources, events, and awareness initiatives related to our mission. Your information, including your email address, may also be used to support outreach and engagement efforts, such as connecting with you on social media. You may opt out of these communications at any time.

Participant Information

First Name

Last Name

Email

Phone

What organization or school do you represent?

What sector do you work in?

County of Residence

Zip/Postal Code

Year

Page 2

Demographics

Race / Ethnicity

Gender

Personal Pronoun

Sexual Orientation

Page 3

Connect with us on Social Media

If you would like to share, please provide your social media handle(s). This information is optional and will only be used to connect with you about relevant content, programs, or community engagement opportunities.

Facebook	Instagram
TikTok

Follow GCAPP on Social Media

We invite you to follow or like GCAPP on social media to stay connected and receive updates, resources, and upcoming opportunities.

Every follow, like, or share helps extend our reach and strengthens our efforts to support and promote health for young people in Georgia.
GCAPP on TikTok

Click the links below to follow us.

GCAPP on Facebook
GCAPP on Instagram
GCAPP on TikTok

Teacher	Student	Parent/Caregiver	Volunteer
Young Adult (18-24)	Youth (10-17)	Youth-Serving Professional