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Share your organization’s youth-focused programs, resources, and youth/patents needs to support PPIC coalition planning.
Contact Information
As we prepare for the upcoming Panhandle Prevention and Intervention Coalition back-to-school prevention and intervention meeting, we are gathering information from community partners about youth-focused programs, prevention activities, intervention resources, and current back-to-school needs. This information will help PPIC identify available resources, gaps, and opportunities for collaboration to support youth, families, schools, and communities across the Texas Panhandle.
Name

First NameLast Name
Organization or Agency
Title or Role
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What counties or communities do you serve?
Youth and School Programs, Activities, and Resources
Does your organization have any program, activity, presentation, referral resource, flyer, or information related to youth, -school prevention, or early intervention that you would like to share with PPIC partners?
Please describe the program, activity, resource, or information you would like to share.
What type of resource can your organization provide?
What age group does this resource serve?
What topic area does your resource address?
Is this resource currently available to schools, youth, families, or community partners?
How can partners access this resource?
Examples: contact person, website, referral process, request form, school request, or QR code.
Coalition Sector Representation
Which Drug-Free Communities 12 Sector category best represents your role or organization?
If you selected Other, please describe your sector or role.
Are you willing to be listed as a PPIC partner representing this sector?
Section 4: Sharing at the Coalition Meeting
Would you be willing to briefly share about your program, activity, or resource during the PPIC meeting?
If yes, how much time would you need?
Do you have flyers, handouts, QR codes, or materials you would like to bring or send ahead of time?
Please upload or link any materials you would like shared with PPIC partners.

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Section 5: Youth Needs and Community Concerns
What youth-related concerns are you currently seeing as students return to school?
What prevention or intervention gaps do you see for youth, families, or schools in our community?
Are there specific trends you are seeing related to youth substance use, vaping, alcohol, impaired driving, violence, mental health, cell phone safety, social media safety, cell phone, social media, and digital safety, cyberbullying, truancy, or risky behaviors?
What support do you think schools, youth, or families need most right now?
What barriers make it harder for youth or families to access prevention, intervention, or support services?
Section 6: Additional Information
Is there anything else you would like PPIC to know before the meeting?
Should be Empty:

PPIC sign up

Contact Information

Youth and School Programs, Activities, and Resources

Coalition Sector Representation

Section 4: Sharing at the Coalition Meeting

Section 5: Youth Needs and Community Concerns

Section 6: Additional Information