Elevate Youth Summary Form
Please fill out and submit after each training or event you attend. *This form MUST be completed in order to receive monthly incentive.*
Your Name (OLD)
*
First Name
Last Name
Your Name
*
Please Select
Adam Copes-Smith
Akira Randle
Allister Kelley
Ameen Alhassnawi
America Cabrera
Anaiah Ragland
Anthony Lopez quinonez
Antonio Carthen
Arleen Torres
Ava Chatman
Blakely Chatman
Brandon Calderon
Brandon Verdugo
Cornelius Bowser iii
Elliott Shelton
Emily La
Enoch Bowser
Erika Orozco
Estrella Flores
Gael Lopez
Gary Walker
Genesis Torres
Jahir valentino Zendejas
James Benefield
Jarasion Bowser Jr.
Jaydaa Delaney
Jeremiah Hanking
Jeremiah Sandifer
Jonah-Michael Duarte
Jonas Louis Royster
Josiah Briggs
Julian Sarabia
Julian Uribe
Julian Zendejas
Kailani Segrest
Kayne Price
Katherine Vigil
Kendra Hewitt
KeVon Barron
Keyon Perkins
Laniya Martin
Luke Zimmerly
Mateo Cook
Maya Austin
Mia Echevarria
Naliyah Shelley
Natalie Ibarria
Omar Millan
Owen Cheung
Rosamaria Garcia
Roy Fife
Sebastian Cruz
Shakella Leonard
ShaMarr LedBetter
Shaylnn Copes
Shyira Kelley
Sincear Robinson
Sumaya Moalin
Sundus Mohamed
Thaily Vigil
Wolf Rodriguez
Zander Sarabia
Zariah Huey
Zoraya Cook
Salesforce Acct ID
What type of session did you attend?
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EYC Training
Community Event
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Training/ Event Name
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Training/ Event Date
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-
Month
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Day
Year
Date
Training/ Event Topic
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Substance Use Prevention
Mental Health or Healing
Leadership
Policy, Systems or Environmental Advocacy
Community Event
Violence Prevention
Other
What is one thing you learned or took away from today’s session or event, and how do you think it can help you in your life or community?
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How did today’s experience make you feel, and what would you like to see or do differently in future sessions or events?
Upload a Flyer or screenshot about the Training/ Event (Optional)
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