Youth Talk, Awareness, and Prevention Program: A Grant Proposal to Expand Teen Prevention
Efforts in Tulare County
anessa !olton, Enri"ue Gu#m$n, %aereg &%imo' (aile, Arlette (ern$nde#, and (annah )ikkeling *uly +, ,-./ 0niversity of 1an 2ran3is3o413hool of 5ursing and (ealth Professions Authors 5ote: This grant proposal was prepared for Pu6li3 (ealth 7/7, Pu6li3 (ealth Planning, %anagement, and Evaluation, taught 6y Professor 1usan Penner8 TULARE COMMUNITY HEALTH CLINIC, INC 999999999999999999999999999999999999999999999999999999999999999999999999999 9 March 1, 2013 Dana Hotra Manager, Grants and Development 1776 Massachusetts Avenue, NW, u!te 200 Wash!ngton, D" 20036 Dear Ms# Hotra, $ulare "ommun!t% Health "l!n!c &$"H"' grac!ousl% su(m!ts our )outh $al*, A+areness, and ,revent!on &)outh $A,' proposal !n response to $he Nat!onal "ampa!gn-s ./, 0or !nnovat!on# 1n order to carr% out th!s pro2ect, $"H" +!ll colla(orate +!th the $ulare 3o!nt 4n!on H!gh chool D!str!ct &$34HD', /resno tate 4n!vers!t% &/4', and med!cal pro0ess!onals# )outh $A,-s goal !s to prov!de comprehens!ve se5 educat!on, prov!de pos!t!ve l!0e s*!ll tra!n!ng, and ra!se a+areness a(out adolescent pregnanc% among $34HD students# Desp!te some nat!onal and state trends sho+!ng a decrease !n teen pregnanc%, $ulare rema!ns to (e the "al!0orn!a "ount% +!th the h!ghest teen pregnanc% rate# $here0ore, th!s p!lot program a!ms to reduce the !nc!dence o0 teen pregnanc% among adolescent 0emales !n th!s count%# As a three6%ear p!lot program, )outh $A,-s 0oundat!on (eg!ns +!th the appl!cat!on o0 ev!dence6(ased theor% us!ng the ,recaut!on Adopt!on ,rocess Model +h!le !ntegrat!ng the comprehens!ve Sexuality and Pregnancy Prevention (SAPP) curr!culum to allo+ %outh !n $ulare count% h!gh schools to !ncrease the!r a+areness a(out !ssues surround!ng teen pregnanc% and e7u!p them +!th the necessar% tools that +!ll lead to a 809 reduct!on !n teen pregnanc%# We cons!der our goal to reduce teen pregnanc% among our target populat!on to (e a challeng!ng one, (ut g!ven our e5per!ence, agenc% capa(!l!t%, and support 0rom our colla(orators, +e are ver% con0!dent a(out our a(!l!t% to ach!eve our goal +!th th!s !ntervent!on# $here0ore, $"H" respect0ull% re7uests :110,000 0or the 0!rst %ear to cover the development and !mplementat!on phase# Add!t!onall%, :160,000 +!ll (e needed each %ear 0or the second and th!rd %ear as +e e5pand our program !nto more schools, +h!ch +!ll re7u!re add!t!onal sta00 and resources to del!ver our serv!ces to the target populat!on# We +ould l!*e to than* %ou 0or %our cons!derat!on and loo* 0or+ard to hear!ng 0rom %ou# 10 %ou have an% 7uest!ons or concerns, please 0eel 0ree to contact me at &88;' 6<66;0;7# !ncerel%, Graciela Soto Perez Grac!ela oto ,ere= "h!e0 >5ecut!ve ?00!cer 1101 N Cherry St. Tulare, CA 93274 Phone: (559) 66!9097 "a#: (559) 66!209 $%&AN'(AT'$N )*SC%'PT'$N
1n 1;;8, $ulare "ommun!t% Health "l!n!c &$"H"' (egan prov!d!ng med!cal and dental care to the commun!t% +h!le o+ned and operated (% $ulare @ocal Health "are D!str!ct# A% 2000, $"H" +as purchased 0rom $ulare D!str!ct Hosp!tal, (ecame a 801 &"' 3 Non6pro0!t ?rgan!=at!on, started as a /ederal Bual!0!ed @oo* A6@!*e "l!n!c then (ecame a /ederall% Bual!0!ed Health "enter &/BH"'# A ma2or!t% o0 $"H"-s Colunteer "ommun!t% Aoard o0 D!rectors !s compr!sed o0 pat!ents o0 $"H" along +!th add!t!onal comm!tted mem(ers +ho meet once a month and serve on several comm!ttees# $o prov!de pat!ents +!th a var!et% o0 spec!al!sts to meet the!r needs, a large port!on o0 our prov!ders are contracted +!th the cl!n!c, result!ng !n a cont!nu!t% o0 prov!ders &ma2or!t% are Aoard "ert!0!ed' allo+!ng the pat!ent and prov!der to (u!ld a long last!ng relat!onsh!p &$"H", 2012'# ?ur ,r!mar% "are ,h%s!c!ans &,",s', !nclud!ng Dent!sts are on6call 2D hours a da% 7 da%s a +ee*# $he cont!nuum o0 care m!rrors the !n0rastructure o0 a ma!n hosp!tal +!th departments such as 1nternal Med!c!ne, ,ed!atr!cs, General urger%, Dental, Aehav!oral Health, etc# $he m!ss!on o0 the $ulare "ommun!t% Health "l!n!c &$"H"' !s to prov!de comprehens!ve, pat!ent centered, h!gh 7ual!t% healthcare 0or lo+6!ncome, un!nsured @at!no !nd!v!duals and 0am!l!es (% reduc!ng the !nc!dence o0 adolescent pregnanc% +!th!n $ulare "ount%-s underserved populat!on o0 m!grant 0am!l!es# 1n response to hav!ng the h!ghest teen pregnanc% rate !n "al!0orn!a, $"H" has centered !ts 0ocus on prevent!ng teen pregnanc% (% colla(orat!ng +!th teen prevent!on non6pro0!ts, local school d!str!cts and un!vers!t!es to prov!de comprehens!ve se5 educat!on, %oung adult l!0e s*!lls, and !ncrease a+areness 0or teen pregnanc%# $"H" hope to 2o!n $he Nat!onal "ampa!gn to ,revent $een ,regnanc% to prov!de the pro2ect +!th the capac!t% to e5ecute the pro2ect-s m!ss!on and o(2ect!ves# $"H" encourages commun!t!es to (e !nvolved !n the @at!no 1n!t!at!ve and )oung Adult Adv!sor% Group prov!ded (% $he Nat!onal "ampa!gn to net+or* and develop !nnovat!ve solut!ons to prevent!ng adolescent pregnanc%# P%$+,*- STAT*-*NT ?ver the course o0 the last decade, teen (!rth rates !n the 4n!ted tates have decreased stead!l%# 4n0ortunatel%, th!s reduct!on !s not o(served un!0orml% across 0emale adolescent populat!ons 0rom all ethn!c and soc!oeconom!c (ac*grounds# /emale adolescents o0 A0r!can6Amer!can, H!span!cE@at!no, Amer!can 1nd!anEAlas*a Nat!ve (ac*grounds, soc!oeconom!call% d!sadvantaged !nd!v!duals o0 an% race or ethn!c!t% st!ll tend to d!sproport!onatel% e5per!ence the h!ghest rates o0 teen pregnanc% and ch!ld(!rth &"D"F A(out $een ,regnanc%, 2012'# 1n 2011, 2o!ntl%, A0r!can6Amer!can and H!span!cE@at!no %outh compr!sed 879 o0 teen (!rths !n the 4## &"D", 2012'# $h!s accounts 0or an enormous d!spar!t% (ecause these t+o ethn!c groups onl% account 0or 3D 9 percent o0 the general teen populat!on !n the 4n!ted tates &4## $een Demograph!cs, Health, and Aehav!or, 2010'# 1n 2011, 719 o0 all teen (!rths occurred to 1< to 1; %ears o0 age &$he ?00!ce o0 Adolescent Health, 2013'# H!span!cE@at!no adolescent 0emales o0 ages 186 1; had the h!ghest (!rth rate o0 D;#D (!rths per 1,000 adolescent 0emales !n 2011# $he% +ere closel% 0ollo+ed (% A0r!can6Amer!can adolescent 0emales +ho e5per!enced a rate o0 D7#D (!rths per 1,000 adolescent 0emales# $he a0orement!oned (!rth rates are s!gn!0!cantl% h!gher than the!r Wh!te adolescent counterparts, +ho e5per!enced a mere 21#< (!rths per 1,000 adolescent 0emales &$he ?00!ce o0 Adolescent Health, 2013'# Desp!te nat!on+!de progress, the state o0 "al!0orn!a cont!nues to e5per!ence some o0 the h!ghest teen pregnanc% rates !n the nat!on# Accord!ng to the 2010 Nat!onal C!tal tat!st!cs .eport, "al!0orn!a ran*s 30 th out o0 the 80 states !n terms o0 (!rth rate among 0emales aged 1861; &Mart!n et al#, 2012'# /or ever% 1,000 adolescent 0emales o0 ages 1861; !n the state, 187 (ecame pregnant !n 2001# !nce then, some progress has (een o(served, (ut a lot o0 +or* rema!ns to (e done !n order to cont!nue to reduce teen pregnanc% rates !n the state# $he state-s rates had 0allen (elo+ the nat!onal average (% the %ear 2008# /or ever% 1,000 adolescent +omen o0 ages 1861;, 78 (ecame pregnant !n 2008 &Aoonstra, 2010'# Ho+ever, s!m!larl% to the nat!onal rate o0 teen pregnanc%, d!spar!t!es e5!st among var!ous ethn!c groups# /or !nstance, t+o o0 ever% three (a(!es (orn to adolescent 0emales are @at!nas, +hom onl% compr!se o0 the adolescent 0emale populat!on !n "al!0orn!a &3ohnson, 2003'# >ven +!th!n "al!0orn!a, there are su(stant!al var!at!ons !n teen (!rth rates o(served across !ts reg!ons and count!es# $een (!rth rates !n rural an 3oa7uGn Calle% are more than t+!ce as h!gh as those !n the ur(an an /ranc!sco Aa% Area &3ohnson, 2003'# ?nl% some o0 th!s var!at!on can (e e5pla!ned (% d!00erences !n the demograph!c compos!t!on o0 the teen populat!on# /or e5ample, H!span!cE@at!na teen (!rth rates are over 809 h!gher !n the an 3oa7uGn Calle% than !n the North "oast and Mounta!n reg!on# A0r!can6Amer!can teen (!rth rates are over t+!ce as h!gh !n the an 3oa7uGn Calle% as !n the "entral "oast# Wh!te teen (!rth rates are almost three t!mes h!gher !n the an 3oa7uGn Calle% than !n the an /ranc!sco Aa% Area &3ohnson, 2003'# >ven though teen (!rth rates are decreas!ng, th!s reg!on also has the h!ghest rates o0 teen (!rth 0or each o0 the 0our largest rac!alEethn!c groups !n "al!0orn!aF @at!nas, A0r!can6Amer!cans, As!ans and Wh!tes# More concernedl%, out o0 all the count!es that compr!se the an 3oa7uGn Calle%, $ulare "ount% !s ran*ed as hav!ng the h!ghest teen pregnanc% rate among all o0 the count!es !n the ent!re state o0 "al!0orn!a# $h!s concern!ng ran*!ng !s desp!te an o(served decrease !n teen pregnanc% rate over the last decade# 1n 2000, $ulare "ount% o(served 7<#8 (!rths per 1000 adolescent 0emales &3ohnson, 2003'# Wh!le more recentl%, !n 2013 the rate o(served +as 66 (!rths per 1000 adolescent 0emales !n compar!son to 37 (!rths per 1000 !n the +hole state o0 "al!0orn!a &"D,H, 2013'# $ulare "ount% !s located 2ust south o0 /resno +!th a small populat!on o0 8;,813 +!th H!span!cs compos!ng hal0 o0 the populat!on &"!t%data, 2013'# 1ts r!s!ng teen (!rth rates could (e due to man% 0actors !nclud!ng povert% levels, cultural demograph!cs, and resources 0or teens# $he count%-s household !ncome !n 2011 +as :3;,;;6H and 3;9 o0 the populat!on over 28 does not have a h!gh school d!ploma# /urthermore, 629 declared "athol!c a00!l!at!on +h!ch ult!matel% decreases 0und!ng 0or pu(l!c health, 0am!l% plann!ng and teen mother program &"!t%data, 2013'#
&$A,S . $+/*CT'0*S G!ven the h!gh rates o0 teen pregnanc% e5per!enced !n $ulare "ount%, the overarch!ng goal o0 th!s !ntervent!on !s reduce pregnanc% among adolescents 1861; %ear olds !n $ulare count% through school and commun!t% prevent!on e00orts# 1n order to ach!eve th!s goal, the )outh $al*, A+areness, ,revent!on &)outh $A,' at $"H" +!ll 0ollo+ a colla(orat!ve partnersh!p +!th the $ulare 4n!on H!gh chool D!str!ct and /resno tate 4n!vers!t%# $h!s partnersh!p +!ll !ncorporate and closel% 0ollo+ a curr!culum, peer mentor!ng model, and ev!denced6(ased (ehav!oral theor% pr!nc!ples# $he curr!culum +!ll (e taught progress!vel% to h!gh school students and +!ll !nvolve reproduct!ve health educat!on, 0am!l% plann!ng, as +ell as advanced (ehav!oral top!cs, such as sa0e relat!onsh!ps and !nt!mate partner v!olence# ?ver the 36 %ear !ntervent!on per!od, !t !s pro2ected that 2,800 students +!ll rece!ve curr!cula# "ollege students 0rom /resno tate 4n!vers!t% +!ll serve as peer mentorsEclass 0ac!l!tators and del!ver the educat!onal serv!ces prov!ded (% th!s program across $ulare "ount%-s s!5 h!gh schools# $he courses o00ered (% the )outh $A, +!ll (e o00ered 0our t!mes a %ear dur!ng earl% 0all, late 0all, earl% spr!ng, and late spr!ng# Dur!ng these per!ods, program sta00 +!ll target, 0reshmen, sophomore, 2un!or, and sen!or grade levels, respect!vel%# $he 0!rst summer o0 the program +!ll serve as the !mplementat!on phase to tra!n program sta00# $he su(se7uent t+o summers +!ll serve as the per!od o0 t!me 0or tra!n!ng, development, and retent!on o0 the 0ull team o0 peer mentors +ho +!ll prov!de the serv!ces# $he )outh $A,-s success !n ach!ev!ng !ts goals +!ll (e measured (% the accompl!shments o0 the 0ollo+!ngF $+/*CT'0*S $ut1o2e $34e1t56e7 1# A% the %ear 2016, the est!mated pregnanc% rate among 1861; %ear olds +!ll (e reduced 0rom 7<#8 per 1000 to 3;#28 per 1000, as measured (!%earl% (% hosp!tal (!rth records# 2# A% the end o0 the %ear, cl!ents served +!ll report 309 !mprovement o0 the!r *no+ledge related to teen pregnanc% prevent!on !ssues, as measured (% a pre and post evaluat!on# 3# A% the end o0 the %ear, cl!ents served (% the program +!ll report an average o0 <09 sat!s0act!on +!th the mater!al covered !n classes and peer 0ac!l!tators, as measured (% a cl!ent-s sat!s0act!on surve% adm!n!stered a0ter each class ser!es ends# Pro1e77 $34e1t56e7 1# A% the m!d%ear o0 program !mplementat!on, 8 peer mentors +!ll (e tra!ned and reta!ned to prov!de classes to three $34HD h!gh schools# 2# A% the (eg!nn!ng o0 the second %ear o0 program !mplementat!on, 10 peer mentors +!ll (e tra!ned and cover all 6 h!gh schools !n the $34HD# 3# A% the th!rd %ear, our program +!ll cont!nue to serve all 6 h!gh schools and cont!nue our teen pregnanc% prevent!on endeavors# -*T8$)$,$&9 Theoret51al /u7t5:51at5on As educators and pu(l!c health pract!t!oner !t should (e our goals that &1' teens can ma*e educated reproduct!ve and se5ual health dec!s!ons, that &2' teen pregnanc% and $D rates are reduced to the rates o0 other developed nat!ons, and that &3' these trends are ma!nta!ned through the teenage %ears !nto adulthood# $he Nat!onal 1nst!tutes o0 Health advocates that ,recaut!on Adopt!on ,rocess Model o00ers a good (as!s 0or commun!cat!on tool (et+een se5 educat!on teachers and students &tanger6Hall et al#, 2011'# $he ,recaut!on Adopt!on ,rocess Model &,A,M' spec!0!cs seven d!st!nct stages !n the 2ourne% 0rom lac* o0 a+areness to adopt!on andEor ma!ntenance o0 a (ehav!or# $he ,A,M recogn!=es that people +ho are una+are o0 an !ssue, or are unengaged (% !t, 0ace d!00erent (arr!ers 0rom those +ho have dec!ded not to act# $he ,A,M prompts our !ntervent!on to have strateg!es that ta*e !nto account the stages that precede !nto act!ve dec!s!on6ma*!ng &ee /!gure 1'# 1n a recent stud%, !t +as 0ound that states that taught comprehens!ve se5 andEor H1C educat!on and covered a(st!nence along +!th contracept!on and condom use &level 1 se5 educat!onH also re0erred to as Ia(st!nence6plusJ', tended to have the lo+est teen pregnanc% rates, +h!le states +!th a(st!nence6onl% se5 educat!on la+s that stress a(st!nence unt!l marr!age &level 3' +ere s!gn!0!cantl% less success0ul !n prevent!ng teen pregnanc!es &tanger6Hall et al#, 2011'# 1t +as also 0ound that 829 o0 all un!ntended pregnanc!es &teenagers and adults' !n the 4## to non6 use o0 contracept!on, D39 to !ncons!stent or !ncorrect use, and onl% 89 to method 0a!lure# &/rost et al#, 200<'# We +ant to ma*e sure that our teens are a+are and *no+ledgea(le a(out human reproduct!on, !nclud!ng sa0e se5ual health pract!ces to prevent un!ntended pregnanc!es and $Ds# ?ur !ntervent!ons goal !s to !mplement a comprehens!ve curr!culum, s!m!lar to level 1, !n $ulare "ount%# $he goal !s to move our teens 0rom tages 1 or 2 &una+are or unengaged !n the !ssues o0 pregnanc% and $D prevent!on' to tages 3 K 7 &!n0ormed dec!s!on6ma*!ng' (% prov!d!ng them +!th *no+ledge, understand!ng, and sound dec!s!on6ma*!ng s*!lls as 0ollo+sF $he seven stages o0 the ,A,M theor% appl!ed to pregnanc% prevent!on !ncludeF 1# 4na+are o0 !ssue Kthe teen lac*s pregnanc% prevent!on educat!on, there0ore she !s una+are o0 the opt!on to use contracept!ves andEor condoms to prevent pregnanc% 2# 4nengaged (% !ssueLheard a(out pregnanc% prevent!on, or onl% learned a l!ttle, (ut not %et engaged (% the protect!ve health (ehav!or# 3# 4ndec!ded a(out act!ngLthe teen !s engaged !n the !dea o0 pregnanc% prevent!on and !s dec!d!ng ho+ to proceed# D# Dec!ded not to actLthe teen ma% dec!de not to act on the health !ntervent!onH th!s stops the precaut!on adopt!on process# Alternat!vel%, a person ma% dec!de to hold o00 on ma*!ng a dec!s!on, +h!ch means the% sta% !n tage 8# Dec!ded to actLat th!s stage, a person has dec!ded to !mplement the health !ntervent!on !n ta*!ng proper precaut!ons to prevent pregnanc%# 6# Act!ngL!n!t!at!ng and !mplement!ng pregnanc% prevent!on (% us!ng condoms or other contracept!ve methods 7# Ma!ntenance L!0 relevant, th!s stage means that the person has ma!nta!ned the health !ntervent!on or (ehav!or over t!me and d!d not get pregnant# "5;ure 1: $h!s model o00ers a (as!s 0or commun!cat!on and d!scuss!ons (et+een educators, sc!ent!sts, se5 educat!on re searchers, and health pro0ess!onals, and could serve as a re0erence 0or measur!ng progress !n se5 educat!on# Curr51ulu2 $"H" +!ll 0ollo+ the Sexuality and Pregnancy Prevention (SAPP) curr!culum to educate h!gh school students +!th!n the $ulare 3o!nt 4n!on H!gh chool D!str!ct and the Alpaugh 4n!0!ed chool D!str!ct# $he A,, curr!culum !s des!gned to reduce teen pregnanc% !n the count% (% promot!ng se5ual and reproduct!ve health educat!on# $he seven core concepts covered (% A,, !ncludeF anatom% and ph%s!olog%, relat!onsh!ps, v!olence prevent!on, prevent!on o0 H1CE$DEpregnanc%, se5ual r!s* (ehav!ors, pregnanc%, and access!ng serv!ces# $he A,, curr!culum !s (ased upon the Nat!onal Health >ducat!on tandards &NH>'# $he purpose o0 NH> !s to prov!de a 0rame+or* to determ!ne the e5tent to +h!ch the curr!culum +!ll help students learn the essent!al *no+ledge and s*!lls to promote se5ual health and reduce teen pregnanc% &ee /!gure 2'# /!gure 2F $h!s chart sho+s the NH> +r!tten e5pectat!ons 0or +hat students should *no+ and (e a(le to do (% grades ;612 to promote se5ual health and reduce teen pregnanc%# SAPP Curriculum Design- $he curr!culum has th!rt% sess!ons, +h!ch are d!v!ded !nto un!ts accord!ng to age6 appropr!ate grade level# >ach sess!on has clear learn!ng o(2ect!ves that are addressed through peer learn!ng act!v!t!es# >ach sess!on outl!nes o(2ect!ves to (e ach!eved, mater!als needed, and act!v!t!es to (e conducted# 1n add!t!on, (ac*ground notes and general t!me l!m!ts are !ncluded 0or 0ac!l!tators to help them understand the su(2ect (e0orehand and a!d them !n determ!n!ng the t!me 0rame 0or the act!v!t!es# &ee Append!5 A 0or a sample lesson plan'# SAPP Lesson Plan Topics- 9 th &ra<eF ect!onsF Anatom%E ,h%s!olog%F 10 th &ra<e: ect!onsF Health% .elat!onsh!ps 11 th &ra<e: ect!onsF C!olence 12 th &ra<e: ect!onsF e5ual HealthE Calues, ,u(ert%, Gender ,revent!onE e5ual .!s* Aehav!orsF Dec!s!on Ma*!ng Access!ng erv!ces M ess!on 16 Calues M ess!on 26 @!0e "%cle M ess!on 36 Adolescence and pu(ert% M ess!on D6 Male and /emale .eproduct!ve %stems M ess!on 86 .eproduct!on M%ths M ess!on 66 1ntroduct!on to Gender M ess!on 76 Gender tereot%pes M ess!on <6 e5ual!t% and Aehav!or Mess!on ;6 el06 >steem M ess!on 106 Health% .elat!onsh!ps M ess!on 116 "ommun!cat!on M ess!on 126 /r!endsh!p M ess!on 136 .omant!c .elat!onsh!ps M ess!on 1D6 @ove and 1n0atuat!on Mess!on 186 Manag!ng stress, Anger, and "on0l!ct M ess!on 166 Ae!ng Assert!ve M ess!on 176 Dec!s!on Ma*!ng M ess!on 1<6 ett!ng Goals M ess!on 1;6 .es!st!ng ,eer ,ressure M ess!on 206 Drug 4se M ess!on 216 e5ual >5plo!tat!on, .ape and C!olence M ess!on 226 A(st!nence M ess!on 236 $een ,regnanc% M ess!on 2D6 ,arenthood M ess!on 286 4nsa0e A(ort!on M ess!on 266 H1C and A1D M ess!on 276 Coluntar% "ounsel!ng and $est!ng &C"$' M ess!on 2< 6 "are and upport 0or people +!th H1C M ess!on 2;6 e5uall% $ransm!tted 1n0ect!ons M ess!on 36 /acts and M%ths a(out $D-s Lesson Plan outcomes: ; th graders &Anatom%E,h%s!olog%' 6At the end o0 the ; th grade A,, curr!culum students should (e a(le toF 1# Descr!(e ph%s!cal, soc!al and emot!onal changes dur!ng the trans!t!on 0rom adolescence to adulthood# 2# >5pla!n ho+ concept!on occurs, and the stages o0 pregnanc% 3# Descr!(e gender roles and se5ual or!entat!on +!th!n health% se5ual!t%# 10 th graders &.elat!onsh!ps' 6At the end o0 the 10 th grade A,, curr!culum students should (e a(le toF 1# >5pla!n ho+ to (u!ld and ma!nta!n health% relat!onsh!ps &0am!l% and peers'# 2# Descr!(e strateg!es to e00ect!vel% deal +!th d!00!cult relat!onsh!ps &0am!l%, peers, partner'# 3# >5pla!n appropr!ate and e00ect!ve +a%s to e5press needs, +ants, and 0eel!ngs# 11 th graders &C!olence ,revent!onE e5ual .!s* Aehav!orsF Dec!s!on Ma*!ng' 6 At the end o0 the 11 th grade A,, curr!culum students should (e a(le toF 1# trateg!=e +a%s to ma*e health!er dec!s!ons (% sett!ng goals# 2# >5pla!n methods to set personal l!m!ts to avo!d r!s*% (ehav!or# 3# Anal%=e ho+ po+er and control can contr!(ute to aggress!on and v!olence# D# Anal%=e s!tuat!ons that lead to (e!ng pressured to have se5# 12 th graders &e5ual HealthE Access!ng erv!ces' 6At the end o0 the 12 th grade A,, curr!culum students should (e a(le toF 1# ummar!=e transm!ss!on, s%mptoms and prevent!ve methods to reduce the r!s* o0 H1C and $Ds# 2# >5pla!n (!rth control methods# 3# >5pla!n +a%s to prevent pregnanc%# D# >5pla!n the !mportance o0 se5ual health screen!ngs and +here to go to access local serv!ces# 8# >5pla!n ho+ to access $D and H1C test!ng centers, and ho+ to rece!ve contracept!ve counsel!ng# *0A,=AT'$N . >=A,'T9 ASS=%ANC* 1n order to cont!nuousl% measure the !mpact and per0ormance o0 the )outh $A, ,rogram, program sta00 +!ll closel% colla(orate +!th the "entral Calle% Health ,ol!c% 1nst!tute at /resno tate 4n!vers!t%# 1n add!t!on to trac*!ng )outh $A,-s per0ormance o(2ect!ves, 7ual!tat!ve and 7uant!tat!ve measures +!ll (e ut!l!=ed as a 0orm o0 o(2ect!ve program evaluat!on# $hese measures !nclude a pre and post cl!ent e5am!nat!on and a cl!ent sat!s0act!on surve%# $he pre and post e5am!nat!on content +!ll (e an !dent!cal set o0 th!rt%6t+o 7uest!ons# $he pre6e5am!nat!on +!ll (e adm!n!stered on the 0!rst da% o0 the class pr!or to an% !nstruct!on (e!ng del!vered to cl!ents# $h!s e5am!nat!on +!ll serve as a (asel!ne to determ!ne the e5tent o0 the success o0 the class# $he 7uest!ons +!ll (e !n a +r!tten 0or a h!gh school l!terac% level# $he% +!ll cons!st o0 s!mple mult!ple6cho!ce and +ord6de0!n!t!on match!ng 0ormat and +!ll cover the content taught !n the course comprehens!vel%# At the culm!nat!on o0 each class, 0or the respect!ve grade level, the same post6e5am!nat!on +!ll (e adm!n!stered and the results +!ll (e entered !nto a M!croso0t Access data(ase and anal%=ed# /ollo+!ng the adm!n!strat!on o0 the post6e5am!nat!on, cl!ents served (% the program +!ll complete a cl!ent sat!s0act!on surve%# $he surve% +!ll as* part!c!pants to evaluate several aspects o0 the program and evaluate !t 7uant!tat!vel%, us!ng a rat!ng scale o0 16 10, and 7ual!tat!vel%, us!ng a space 0or Icomments, commendat!ons, or concernsJ a(out the program# $he results 0rom cl!ents- sat!s0act!on surve%s +!ll also (e entered !nto a M!croso0t Access data(ase 0or su(se7uent anal%s!s# )outh $A,-s ,eer >ducators +!ll (e respons!(le 0or adm!n!ster!ng, collect!ng, and su(m!tt!ng the e5am!nat!ons and cl!ent sat!s0act!on surve%s o0 the!r respect!ve classes# $hese documents +!ll (e su(m!tted to the $een erv!ces Adm!n!strat!ve Ass!stant, +hom +!ll (e respons!(le 0or data entr%# $he ,rogram Manager, +or*!ng closel% +!th "entral Calle% Health ,ol!c% 1nst!tute stat!st!c!ans, +!ll per0orm the anal%s!s o0 the data collected a0ter each course ends# 1n add!t!on to monthl% reports trac*!ng serv!ce del!vera(les, a (!annual report +!ll then (e su(m!tted to the ,rogram D!rector to rev!e+, mon!tor progress, and ma*e programmat!c changes L!0 deemed necessar%# At the end o0 each 0!scal %ear, a comprehens!ve mon!tor!ng report +!ll (e generated !n order to trac* program progress and determ!ne the course 0or mov!ng 0or+ard# 1n order to ensure that the serv!ces del!vered to cl!ents (% ,eer >ducators, )outh $A, adm!n!strat!ve sta00 +!ll prov!de e5tens!ve and cont!nuous tra!n!ng and support# 1n order to prepare ,eer >ducators to del!ver e00!c!ent classes and 0ac!l!tat!on, the% +!ll undergo an e5tens!ve 0our6+ee* tra!n!ng dur!ng the summer &ee Append!5 "'# $h!s e5tens!ve course +!ll !nclude se5ual health educat!on, teen cogn!t!ve and (ehav!oral !n0ormat!on, ep!dem!olog!cal trends o0 teen pregnanc% and se5ual health, as +ell as (est pract!ces 0or e00ect!ve d!dact!c methods +!th the target populat!on# ?nce ,eer >ducators (eg!n teach!ng, the% +!ll attend a +ee*l% mult!6 d!sc!pl!nar% team meet!ng +!th the rest o0 the )outh $A, sta00# $h!s meet!ng +!ll serve as an opportun!t% to de(r!e0 a(out the!r e5per!ence, rece!ve gu!dance and support, and !mprove the overall del!ver% o0 serv!ces# Add!t!onall%, ,eer >ducators +!ll meet +ee*l% +!th the ,rogram Manager 0or !nd!v!dual superv!s!on, +here the% +!ll prov!de a +ee*l% report o0 the!r accompl!shments# $he ,rogram Manager +!ll meet (!6monthl% +!th the ,rogram d!rector and prov!de m!d6month and end6o06the6 month program accompl!shment updates# W!th such closel% mon!tored per0ormance evaluat!on and commun!cat!on, an% gaps or programmat!c !ssues that ar!se +!ll (e a(le to (e addressed and corrected !mmed!atel%# *T8'CA,?,*&A, C$NS')*%AT'$N )outh part!c!pat!on !n an% t%pe o0 program re7u!res eth!cal and legal cons!derat!ons to (e care0ull% anal%=ed and 0ollo+ed thoroughl%, espec!all% +hen the top!c o0 d!scuss!on !s se5# $"H" promotes and adopted a comprehens!ve se5 educat!on curr!culum rather than !ts alternate, a(st!nence educat!on to avo!d uneth!cal concerns# A(st!nence educat!on promotes a(sta!n!ng 0rom se5ual !ntercourse unt!l marr!age, pract!c!ng moral values (ased upon rel!g!on, and trad!t!onal gender roles o0 Amer!can soc!et%# $he goals o0 comprehens!ve se5 educat!on that $"H" has !ntegrated !nto the program !nclude the 0ollo+!ngF prov!d!ng accurate se5ual !n0ormat!on, create an env!ronment that helps teens de0!ne and develop the!r personal values, att!tudes and op!n!ons a(out se5ual!t%, respons!(!l!t% and accounta(!l!t%, along +!th dec!s!on6 ma*!ng and peer pressure# ?ur goal to reduce teen pregnanc% rates !n $ulare "ount% rel% on the !mplementat!on o0 a mult!60aceted approached, !nstead o0 a l!near method, such as a(st!nence educat!on# "omprehens!ve se5 educat!on ra!ses eth!cal concerns (ased upon top!cs that can (e deemed as se5uall% e5pl!c!t and !nappropr!ate# Car!ous t%pes o0 se5ual act!v!t% +!th 0e+er to man% conse7uences +!ll (e d!scussed (ut students or parents can m!s!nterpret certa!n act!v!t!es as suggest!ve# >ducators +ho are respons!(le 0or teach!ng the comprehens!ve se5 educat!on curr!culum ma% not completel% agree +!th the !n0ormat!on and pract!ces presented to the!r students# /ac!l!tators must create an env!ronment that !s non2udgmental and respect0ul o0 the adolescent part!c!pants# $he purpose o0 the space prov!ded !s to (e as open and 0r!endl% as poss!(le, so students +!ll (e recept!ve to learn!ng and shar!ng personal e5per!ences# ,arents have the legal author!t% to dec!de +h!ch t%pe o0 educat!on the!r ch!ld&ren' should rece!ve, +h!ch !s a const!tut!onal r!ght# $o avo!d legal !ssues, students +!ll (e re7u!red to have a part!c!pat!on 0orm s!gned (% the!r parents or guard!an stat!ng that the% +!ll or +!ll not part!c!pate !n the program# Although +e +ould l!*e 1009 part!c!pat!on rates, +e cannot v!olate parentalEguard!an r!ghts# S=STA'NA+','T9 "urrentl%, the cl!n!c !s supported through donat!ons, !nd!v!dual grants, and Med!ca!dEMed!care# $"H" !s see*!ng 0und!ng 0rom the ?00!ce o0 Adolescent /am!l% @!0e, pr!vate organ!=at!ons, 0undra!sers and donat!ons through spec!al!=ed g!v!ng 0rom the pu(l!c# $he $een ,regnanc% and ,revent!on ,ro2ect !s has !ts o+n comm!ttee o0 comprehens!ve (oard mem(ers +!th the 0ollo+!ng t!tlesF med!cal and pu(l!c health pro0ess!onals, governmental and pr!vate ent!t!es, school and un!vers!t% sta00, parents and %outh# CAPA+','T9 STAT*-*NT AN) C$NC,=S'$N $"H" has dev!sed an ela(orate plan to address the h!gh rate o0 adolescent pregnanc% !n $ulare "ount%# As the count% +!th the h!ghest rate o0 teen pregnanc% !n "al!0orn!a, $"H" !s e7u!pped +!th the *no+ledge, sta00, and partnersh!ps to rece!ve a su(stant!al grant to 0und a three6%ear p!lot program us!ng the Sexuality and Pregnancy Prevention (SAPP) curr!culum to teach to h!gh school students +!th!n the $ulare 3o!nt 4n!on H!gh chool D!str!ct# Along +!th us!ng th!s spec!0!c curr!culum, the ,recaut!on Adopt!on ,rocess Model !s the 0oundat!on 0rame+or* to engage students !nto a process o0 act!ve dec!s!on6ma*!ng !n regards to the!r reproduct!ve and se5ual health# Wh!le +or*!ng +!th local school d!str!cts and m!nors, $"H" +!ll 0ollo+ all precaut!ons to m!n!m!=e an% eth!cal and legal concerns that +!ll pose a threat to the r!ghts o0 parents, m!nors and educat!onal sta00# A@@en<5# A $a(le 1 $a(le 2F As seen !n th!s 0!gure, there !s also a s!gn!0!cant geograph!c var!at!on !n adolescent ch!ld(ear!ng across the 4n!ted tates# 1n 2010, the lo+est teen (!rth rates +ere reported !n the Northeast, North+est and upper M!d+est, +h!le rates +ere h!ghest !n states across the southern part o0 the countr% &$he ?00!ce o0 Adolescent Health, 2013'# A@@en<5# + Sexuality and Pregnancy Prevention (SAPP) K $ulare "ount%F Se775on 21! Se#ual *#@lo5tat5on, %a@e an< 05olen1e $arget groupF 11 th graders $op!cF "onsent ?(2ect!vesF tudents +!ll (e a(le to de0!ne consent Mater!alsF ,oster paper, mar*ers, "onsent handout $!meF 28 m!n As*F As* the students +hat consent means to them# D!scuss ho+ consent !s the perm!ss!on 0or someth!ng to happen or an agreement (et+een t+o people to do someth!ng# As* students +h% the% th!n* consent !s !mportantN D!scuss sa0et%, (oundar!es, la+s and (u!ld!ng health% relat!onsh!ps# ,ass out the "onsent handout# a%F "onsent !s ver% !mportant to understand, espec!all% +hen +e are d!scuss!ng relat!onsh!ps +!th others# "onsent !s espec!all% !n !mportant !n se5ual and romant!c relat!ons and must (e commun!cated (et+een partners, (ut can somet!mes (e a d!00!cult su(2ect to d!scuss# @et-s 0!rst d!scuss +hat consent means# As*F As* a student to volunteer to read each statement 0or the consent acron%m# A0ter each letter statement, d!scuss +!th e5amples and e5planat!on o0 each letter# O"F "omprehens!on means that (oth partners understand +hat !s go!ng to happen# O?F ?pt!onal means that e!ther partner can dec!de the% no longer +ant to engage !n an act!v!t% and (oth have the 0reedom to dec!de to cont!nue or not to cont!nue# ONF Negot!at!on means that (oth partners have the 0reedom to d!scuss +here the!r (oundar!es ma% (e# OF A% la+, a person cannot g!ve consent !0 the% are under an% t%pe o0 su(stance# O>F >ngagement means that (oth partners are part!c!pat!ng# !lence doesn-t not mean %es# ONF $he act must (e nonv!olent unless (oth part!es dec!de other+!se# O$F $al*!ng !s ver% !mportant +hen !t comes to consent and !t should (e a cont!nuous conversat!on# At an% t!me, e!ther partner can change the!r m!nd or the other partner should respect that dec!s!on# D!scussF O Wh% do %ou th!n* consent ma% (e a d!00!cult th!ng to tal* a(outN O"an %ou g!ve e5amples o0 +here %ou have seen consent g!venN OAre there e5amples o0 people g!v!ng consent on telev!s!on or !n mov!esN OD!scuss ho+ the med!a rarel% sho+s people g!v!ng consent and sets the e5ample that consent !s not needed or that !t !s assumed# "onsent should (e respected# As*F As* the mem(ers !0 the% have heard o0 !nt!mate partner v!olence &1,C'# As* a student to volunteer to read the de0!n!t!on o0 !nt!mate partner v!olence 0rom the "onsent handout# D!scuss +!th the students that !nt!mate partner v!olence !s the same th!ng as domest!c v!olence# We use the term !nt!mate partner v!olence (ecause most relat!onsh!ps that are v!olent do not !nvolve people that l!ve together or are marr!ed# 1,C can happen !n an% t%pe o0 relat!onsh!p and !s not l!m!ted to onl% heterose5ual relat!onsh!ps# 1,C can !nclude an% t%pe o0 a(use !nclud!ng ph%s!cal, emot!onal or ver(al a(use# tep 2F "%cle o0 C!olence ?(2ect!veF tudents +!ll understand the "%cle o0 C!olence and appl% !t to a popular song# Mater!alsF "ards +!th l%r!cs, "onsent handout, aud!o dev!ce &e5# "D pla%er, !,od +!th spea*ers, etc', >m!nem and .!hanna I@ove the Wa% )ou @!eJ song &opt!onal' $!meF D8 m!n ,reparat!onF /our p!eces o0 poster paper +!th a phase 0rom the "%cle o0 C!olence +r!tten at the top o0 each paper Note to /ac!l!tatorF 10 poss!(le, pla% song 0or class (e0ore act!v!t%# $h!s act!v!t% ma% ta*e longer (ased on d!scuss!on or !0 an% student !s tr!ggered (% the l%r!cs# a%F 1t !s !mportant to understand !nt!mate partner v!olence so +e can (e a+are +hen +e or others ma% (e !nvolved !n a v!olent relat!onsh!p# @earn!ng a(out 1,C can teach us ho+ to help our close 0r!ends or 0am!l% mem(ers# 1nt!mate partner v!olence !nvolves a concept called the "%cle o0 C!olence# $here are 0our phasesF calm, tens!on6(u!ld!ng, !nc!dent and ma*!ng6up# 1t !s called a c%cle (ecause man% people get caught !n th!s c%cle +here there !s no end and !t cont!nues over and over aga!n# $ogetherF .ev!e+ each o0 the phases o0 the "%cle o0 C!olence 0rom the "onsent handout# As* the mem(ers to prov!de e5amples o0 each phase# As*F As* the students !0 there are e5amples o0 the "%cle o0 C!olence on telev!s!on or !n the med!a# ,opular e5amples !nclude amm! and .onn!e 0rom 3erse% hore and .!hanna and "hr!s Aro+n# D!scuss that the "%cle o0 C!olence !s ver% common and somet!mes people +!ll (e !n the c%cle and +!ll not even real!=e !t# 1t ta*es an average o0 seven t!mes to (rea* the "%cle o0 C!olence and can (e ver% challeng!ng 0or someone to leave a v!olent relat!onsh!p# a%F $o get a (etter understand!ng o0 the "%cle o0 C!olence, +e are go!ng to e5am!ne the l%r!cs 0rom a popular >m!nem and .!hanna song, I@ove the Wa% )ou @!e#J 1n small groupsF Have the students (rea* !nto groups o0 3# G!ve each group a set o0 l%r!cs 0rom the I@ove the Wa% )ou @!eJ song and tape# As* the groups to read the l%r!cs and dec!de !n +h!ch phase o0 the "%cle o0 C!olence do the l%r!cs 0all !nto# As groups are d!scuss!ng, place p!eces o0 poster paper +!th each phase +r!tten at the top !n the 0ront o0 the room# Allo+ the groups t!me to d!scuss and place the l%r!cs under each poster# A0ter all o0 the l%r!cs are placed under each phase, d!scuss each set o0 l%r!cs and +h% the groups dec!ded to put !t !n the phase that the% d!d# Allo+ d!scuss!on as man% o0 the l%r!cs can 0!t !nto mult!ple phases# D!scussF ?nce all o0 the l%r!cs are d!scussed, d!scuss these 7uest!ons togetherF OHo+ man% o0 %ou +ere a+are o0 the l%r!cs o0 th!s song pr!or to toda%N OD!d %ou *no+ that the l%r!cs +ere a(out a v!olent relat!onsh!pN OHave %ou heard or seen relat!onsh!ps l!*e th!sN OWhat are +a%s to help a 0r!end that ma% (e !n the c%cle o0 v!olence +!th a partnerN OAre %ou a+are o0 an% resources !n %our commun!t% that can help an%one +ho has (een !n a v!olent relat!onsh!p or !s currentl% !n a v!olent relat!onsh!pN .esourcesF Nat!onal "enter on Domest!c and e5ual C!olence, $een uccess 1nc#, >m!nem and .!hanna I@ove the Wa% )ou @!eJ A@@en<5# C 9outh TAP: '2@le2entat5on A1t565t5e7 Tasks & Activities Plans for comletin! "taff resonsi#le Timeline "tart & En$ $ates Pre- implementation %& Create c'rric'l'm an$ allocation of #'$!et #ase$ on a(ar$ amo'nt (old meetings with Teen Pregnan3y Prevention 3ommittee, %anagement team, and fis3al department Program :ire3tor ;P:< and Program %anager ;P%< C2= !y the end of *une ,-./ )*%*+,%-. /*-%*%- +& Hire five eer mentors Create >o6 des3ription Advertise ?nterview (ire P: and P% (uman @esour3es :epartment !y the end of *uly ,-./ 0*%*+,%-. /*-%*%- -& Hol$ staff retreat to orient staff an$ formal trainin! on $eveloe$ c'rric'l'm (ire fa3ilitator Create agenda 2ind spa3e for retreat Can3el servi3es for the day :is3uss intervention P: and P% Peer %entors External 3lini3 staff %idA August ,-./ /*%+*+,%- 1 /*%0*+,%- 2& U$ate Polic3 & Proce$'res to incl'$e ne( rocesses Create Poli3y and pro3edure review 3ommittee @eferral tra3king pro3esses P: and P% (uman @esour3es %edi3al :ire3tor !y end of summer ,-./ )*%*+,%-. /*-%*%- )& Preare c'rric'l'm materials an$ 0se 3ulturally and linguisti3ally appropriate language and images to hand out to our students Prepare tea3hing materials for peer mentors Administrative Assistant !y the end of summer ,-./ )*%*+,%-. /*-%*%- 0& Coor$inate for MOU to #e si!ne$ (it4 colla#oratin! sc4ools 1e3ure spa3e for servi3es to 6e provided Arrange hours of operation P: and P% At the end of August /*%5*%- . /*-%*%- Implementation 6& "tart sc4ool. #ase$ intervention Provide prevention 3urri3ulum while doing outrea3h Peer %entors P: and P% ;oversee Early fall semester 5*%*+,%- 1 %,*%/*+,%- for 7res4men in t4ree 4i!4 sc4ools @eAassess as needed program implementatio n< /& Provi$e intervention for "o4omores in t4ree 4i!4 sc4ools Provide prevention 3urri3ulum while doing outrea3h @eAassess as needed Peer %entors P: and P% ;oversee program implementatio n< Bate fall semester %,*+%*+,%- 1 %+*%)*+,%- 5& Provi$e intervention to 8'niors in t4ree 4i!4 sc4ools Provide prevention 3urri3ulum while doing outrea3h @eAassess as needed Peer %entors P: and P% ;oversee program implementatio n< Early spring semester %*0*+,%2 1 -*%2*+,%2 %,& Provi$e intervention to "eniors in t4ree 4i!4 sc4ools Provide prevention 3urri3ulum while doing outrea3h @eAassess as needed Peer %entors P: and P% ;oversee program implementatio n< Bate spring semester -*%6*+,%2 1 2*-,*+,%2 %%& Eval'ate an$ assess otential nee$ for imrovement Provide evaluation to s3hools and students Peer %entors P: and P% ;oversee program implementatio n< ?n the month of %ay )*%*+,%2 1 )*-,*+,%2 %+& Hire ne( eer mentors an$ e9an$ staff trainin!& (ire new peer mentors using the knowledge of prior mentors 0se evaluation to improve programs and train staff P: and P% Peer %entors %edi3al :ire3tors !y the end of summer ,-.C 0*%*+,%2 1 /*-%*+,%2 Monitoring & Evaluation %-& Ann'al c4art a'$it @eview o6>e3tives and 3urri3ulum P: and P% At end of first fis3al year and then annually thereafter )*-%*+,%2 an$ ann'all3 t4ereafter %2& Ann'al client satisfaction s'rve3 Customi#e to in3lude prevention intervention effe3ts Tulare high s3hools At end of first fis3al year and then annually thereafter )*-%*+,%2 an$ ann'all3 t4ereafter %)& Ann'al 0se results from audit Program At end of first )*-%*+,%2 an$ reort to formulate report %anager fis3al year and then annually thereafter ann'all3 t4ereafter Maintenance %0& :'arterl3 revie( @eview intervention and assess need for more training Assess need for onAgoing assistan3eDtraining needs for staff %anagement team and Peer mentors Euarterly until end of , nd year ;e!innin! - r$
<'arter of first 7iscal 3ear, an$ t4en t4ro'!4 en$ of secon$ 3ear of f'n$in! %6& Contin'e colla#oration (it4 4i!4 sc4ools an$ T'lare Unifie$ "c4ool =istrict Continue to provide program and apply 3lientFs input from surveys Program %anager and :ire3tor =ngoing On!oin! t4ro'!4 en$ of f'n$in! A@@en<5# ) $r;an5Aat5onal Chart Appendix E Tulare Community Health Clinic Youth Talk, Awareness, & Prevention Program Annual udget ! "Y# $%&' ( $%&) Tulare Community Health Clinic Youth Talk, Awareness, and Prevention Program Annual udget ! "Ys# $%&) ( $%&* and $%&* ( $%&+ Appendix " ,esumes -ATTHE. C/ .0110A-2 123 45th St New York, NY 10001 C: 212-888-9900 MCW@hotmail.om E3EC4T05E 24--A,Y !"er ei#htee$ %ear& o' e()erie$e i$: G 6evelopment and grants management/ Ma$a#e* o"er +20 millio$ i$ #ra$t& 'or loal a$* $atio$al i$itiati"e& that im)at )oor a$* *i&a*"a$ta#e* )o),latio$&. -ai&e* o"er +10 millio$ i$ or)orate #ra$t& 'or "ario,& )ro#ram&. .e"elo)e* om)rehe$&i"e ',$*rai&i$# &trate#ie& 'or $atio$al a$* loal or#a$i/atio$& i$"ol"i$# 'o,$*atio$ #ra$t&, or)orate o$tri0,tio$&, a$* i$*i"i*,al *o$or )ro#ram&. G 2trategic planning and 7acilitation/ 1e* "ario,& &trate#i )la$$i$# )roe&&e& 'or 0oth $atio$al a$* loal or#a$i/atio$&. Well-"er&e* i$ tra$&lati$# mi&&io$& a$* #oal& i$to o)erati$# )la$& with lear 0e$hmark& a$* a$$,al o02eti"e&. G 8rgani9ational development and capacity :uilding/ .e&i#$ a$* )ro"i*e teh$ial a&&i&ta$e to omm,$it%-0a&e* a$* $o$- #o"er$me$tal or#a$i/atio$& i$ the area& o' 0oar* a$* )ro#ram *e"elo)me$t, omm,$it% a&&e&&me$t, a$* )roe&&3o,tome e"al,atio$. Chair $atio$al a$* loal or#a$i/atio$ 0oar*&, a$* a$ ati"e mem0er i$ "ario,& 0oar*& a$* a*"i&or% ommittee&. G udget management/ 4(te$&i"e 0ak#ro,$* i$ *e"elo)i$# a$* mo$itori$# )ro#ram a$* or#a$i/atio$al 0,*#et&. .e&i#$e* 5$a$ial )rotool& a$* )roe*,re& to o$trol o&t& a$* mo$itor *i&0,r&eme$t&. G Policy development and analysis/ Well-"er&e* i$ a&&i&ti$# 'e*eral a$* &tate #o"er$me$t a#e$ie& a$* $atio$al or#a$i/atio$& to *e"elo) )oli% )o&itio$&. G Advocacy work and constituency :uilding/ 4(te$&i"e e()erie$e i$ arti,lati$# i&&,e& i$ health a$* ),0li e*,atio$ a& the% relate to eo$omi a$* &oial *e"elo)me$t. P,8"E2208;A1 E3PE,0E;CE &<<)=Present Pu:lic 2chool Association ;ew York, ;Y Chief of Staf, 2004-Present Senior Program Oficer, 1998-2003 Program Oficer, 1994-1998 G Ma$a#e the or#a$i/atio$6& ore ',$tio$& i$ 7i$a$e, 8*mi$i&tratio$, Comm,$iatio$, a$* .e"elo)me$t. G S)earhea* 0,*#et )roe&& re&,lti$# i$ 0ala$e* 0,*#et&. G -e&tr,t,re* a$$,al em)lo%ee e"al,atio$ )roe&&, &treamli$e* &ta9 2o0 *e&ri)tio$&, a$* ali#$e* om)e$&atio$ )aka#e& with role& a$* re&)o$&i0ilitie&. G S,e&&',ll% &,0mitte* )ro)o&al& 'or ore o)erati$# &,))ort 'rom $atio$al a$* or)orate 'o,$*atio$& totali$# o"er +10 millio$. G S,e&&',ll% rai&e* o"er +2.5 millio$ i$ ',$*i$# o"er 5 %ear& to im)leme$t )ro#ram& to &,))ort low-i$ome omm,$itie&. G 8**re&& )ro#ram a$* )oli% i&&,e& i$ ),0li &hool&. 7ailitate* *i&,&&io$& i$ omm,$itie& aro&& the :$ite* State& that e$#a#e* &t,*e$t&, )are$t& a$* teaher&. G ;ro"i*e* teh$ial a&&i&ta$e to loal e*,atio$ ',$*& a$* other omm,$it%-0a&e* or#a$i/atio$& i$ the area& o' or#a$i/atio$al *e"elo)me$t, e"al,atio$, ',$*rai&i$#, a$* 0oar* *e"elo)me$t. G S)earhea* )la$$i$# o' a$$,al o$'ere$e& 'rom 1995 to )re&e$t. G 4&ta0li&he* &trate#i )art$er&hi)& with "ario,& $atio$al or#a$i/atio$& *eali$# with %o,th *e"elo)me$t, )are$t i$"ol"eme$t, a$* &t,*e$t &,))ort )ro#ram& a$* &er"ie&. &<><!&<<) ;ational Council 7or Education 2enior Program 8?icer, Education Programs ;ew York, ;Y G .irete* a 5-it% a&&e&&me$t o' the e*,atio$ $ee*& o' )eo)le o' olor, a$* *i&&emi$ate* re&,lt& to me*ia a$* other )oli%maker&. G ;ro"i*e* e*,atio$ #ra$t& a$* teh$ial a&&i&ta$e to omm,$it% 0a&e* or#a$i/atio$&. G ;re&e$te* le&&o$& lear$e* a$* i$$o"ati"e a))roahe& i$ #ra$tmaki$# at "ario,& o$'ere$e& a$* &emi$ar& atte$*e* 0% m,$ii)al re)re&e$tati"e&. G 8&&i&te* :S 'e*eral a$* &tate health a$* &oial &er"ie a#e$ie& i$ the *e"elo)me$t o' )ro#ram& tar#eti$# har*-to-reah )o),latio$&, mi$oritie& a$* other *i&a*"a$ta#e* omm,$itie&. &<>>!&<>< Thousand 8aks Hotels Accountant 6enver, C8 G Mai$tai$e* #e$eral le*#er& 'or or)orate a$* <=; ao,$t& 'or a$ 10- )ro)ert% re#io$al o9ie. G Co$*,te* mo$thl%, >,arterl% a$* %ear e$*-reo$iliatio$&? )re)are* mo$thl% a$* %ear-e$* &tateme$t&. G S,)er"i&e* &ta9 o' 5"e to )o&t a&h reei)t&, ao,$t& reei"a0le, a$* ao,$t& )a%a0le&. &<>+!&<>> "ischer Corporation Credit 8?icer 6enver, C8 G Mai$tai$e* ao,$t& reei"a0le le*#er a$* o$tate* )a&t *,e ao,$t& 0etwee$ @0 a$* 120 *a%&. G ;roe&&e* re*it a))liatio$&, )ro"i*e* re*it rati$#&, a$* re&)o$*e* to re*it re'ere$e i$>,irie&. E64CAT08; &<<$!&<<) -idatlantic 4niversity Ma&ter o' 8rt&, ;&%holo#% &<<%!&<<$ altimore , -6 -idatlantic 4niversity altimore , -6 Aahelor o' 8rt&, ;&%holo#% 8A,6 E3PE,0E;CE Chair, Natio$al Aoar*, :$i"er&it% Ce$ter 'or 1ear$i$# Chair, .e"elo)me$t Committee, Aoar* o' .iretor&, New York 4. 7,$* A11028; @E11Y 555 8 th St New York, NY 10089 C: 212-45@-B890 akell%@#mail.om P,8"E2208;A1 E3PE,0E;CE $%%' ! Present Teachers 4nited ;ew York, ;Y $%%+!$%%A 5ice President, 2trategy and Administration G 1e* a team o' 'o,r to ma$a#e &trate#%, om)e$&atio$ a$* a*mi$i&trati"e ',$tio$& G 7ailitate* the a$$,al #oal &etti$# )roe&& 'or the C- ',$tio$ G ;art$ere* with &e$ior ma$a#eme$t to reor#a$i/e the team &tr,t,re a$* re*e5$e role& G Ma$a#e* a$$,al &alar% i$rea&e& aro&& the or#a$i/atio$, o"er&eei$# a +25 millio$ 0,*#et G -e*e&i#$e* the hea*o,$t )la$$i$# a$* traki$# )roe&& G A,ilt a 'orea&ti$# mo*el to &et or#a$i/atio$-wi*e rer,iti$# a$* hiri$# #oal& G S,e&&',ll% im)leme$te* a$ C- i$'ormatio$ &%&tem whih i$te#rate* with )a%roll $%%*!$%%+ 6irector, Technology -anagement G Selete* a$* i$&talle* a $ew a$*i*ate traki$# &%&tem 'or 5,000D &ta9 a))liatio$& )er %ear G S,e&&',ll% tra$&itio$e* the or#a$i/atio$ to a $ew we0-0a&e* time a$* atte$*a$e &%&tem $%%'!$%%* 6irector, ,ecruiting G Ma$a#e* a team o' 10 )eo)le to e(e,te all o)eratio$al a&)et& o' the a*mi&&io$& )roe&& 'or more tha$ 5,000 a))lia$t& )er %ear G .iretl% ma$a#e* the *i&tri0,tio$ o' a +3 millio$ 5$a$ial ai* 0,*#et a$* &,e&&',l olletio$ o$ a +4.3 millio$ loa$ )ort'olio. .ro"e re)a%me$t rate o$ loa$& to a reor* hi#h o' 94E G 8hie"e* a B5E matri,latio$ rate, 99E &ati&'atio$ with ,&tomer &er"ie a$* )er'et reor* o' meeti$# $oti5atio$ *ea*li$e& G ;art$ere* with rer,itme$t, marketi$#, teh$olo#% a$* 5$a$e team& to e$&,re &,e&& $%%% = $%%$ eckett Consulting .ashington, 6C Consultant G .e"elo)e* &ol,tio$& to )ro0lem& with #rowth, )ro5ta0ilit% a$* om)etiti"e$e&& thro,#h 'o,&e* re&earh a$* a$al%&i& 'or lie$t& i$ the $o$-)ro5t a$* )ri"ate &etor G Cel)e* )la$ a $ew or#a$i/atio$ whih 'o&ter& )ri"ate &etor )artii)atio$ i$ *i&a&ter )re)are*$e&& a$* re&)o$&e. ;ro#ram ha& #row$ &,e&&',ll% &i$e la,$h i$ 2003 G Ma$a#e* a team to *e"elo) a $o$)ro5t6& i$ter$atio$al e()a$&io$ &trate#% G Cel)e* &treamli$e a -F. *e)artme$t o' a )harmae,tial om)a$% to ,t o&t& 0% 10E Cel)e* *e5$e a ,&tomer &er"ie &trate#% )ro2ete* to #row re"e$,e& 0% 20E i$ a ma2or *i"i&io$ o' a 0a$k E64CAT08; B P,8"E2208;A1 10CE;24,E $%%% 2amuels College o7 0nternational A?airs -aster o7 Pu:lic A?airs $%%% ;ew York, ;Y 2amuels College o7 usiness -aster o7 usiness Administration &<<* ;ew York, ;Y Adams 4niversity Al:any, ;Y achelor o7 Arts in Economics, -agna Cum 1aude 1A;C4ACE2 7l,e$t S)a$i&h Dasveen @aur 2a&ka,r@#wmail.#w,.e*,
4niversity o7 5irginia, Charlotte&"ille, <8 8,#,&t 2004 G Ma% 2008 Colle#e o' 8rt& a$* Sie$e& Aahelor o' 8rt& i$ 4$#li&h 1iterat,re, Mi$or i$ Aiolo#% G .ea$6& 1i&t
P,8"E2208;A1 E3PE,0E;CE
2coreE Educational Centers, New York, New York 8,#,&t 2008 G H,$e 2009 Marketing Manager G A,ilt )art$er&hi)& with loal &hool&, 0,&i$e&&e&, a$* omm,$it% or#a$i/atio$& i$ Carlem, NY a$* 8&toria, NY G !r#a$i/e* a$* le* omm,$it% &)elli$# 0ee&, writi$# o$te&t&, math halle$#e&, a$* work&ho)& i$ Carlem, NY a$* Aro$(, NY =$rea&e* &ale& lea*& i$ Carlem 0% 20BE
@aplan, 0nc/, Charlotte&"ille, <8 8,#,&t 200@ G H,l% 2008 SAT/PSAT Teacher G Ia,#ht three la&&room o,r&e& o' 10-14 &t,*e$t& eah a$* t,tore* 2 &t,*e$t& i$ math, writi$#, a$* ritial rea*i$# &kill& =m)leme$te* 'o,&e* #oal& 'or eah &t,*e$t
4niversity o7 5irginia Health 2ystem, Charlotte&"ille, <8 Ma% 200B G 8,#,&t 200B Research Assistant G 8$al%/e* lo$#-term li$ial o,tome& 'rom &i$,& $o*e mo*i5atio$ ,&i$# $o$-o$tat ma))i$# a0latio$ 'or =$a))ro)riate Si$,& Iah%ar*ia J=SIK G Create* a ma&ter *ata0a&e, writte$ a0&trat a$* a )o&ter o' re&earh 5$*i$#& G ;re&e$te* )o&ter a& 5r&t a,thor at $atio$al Ceart -h%thm Soiet% o$'ere$e i$ Ma% 2008 'or a0&trat ),0li&he* i$ Heart Rhythm Journal 2008
1EA6E,2H0P E3PE,0E;CE
C. Health 2ervices -anagement and 1eadership 2tudent Association, Wa&hi$#to$, .C Vice President !lected G Ser"e a& St,*e$t -e)re&e$tati"e to Natio$al Ca)ital Cealthare 4(e,ti"e& Aoar* o' .iretor& G ;la$ a$* oor*i$ate a$$,al Natio$al Ca)ital Cealthare 4(e,ti"e& C4! -o,$*ta0le 4"e$t 1ea* re"iew o' &elete* o,r&e& a& hairwoma$ o' St,*e$t -e"iew Committee
Ha$,ar% 2008- 2011 0nterdisciplinary 2tudent Community!8riented Prevention Enhancement 2ervice F02C8PE2G, Se)tem0er 2008 -2012 Leor#e Wa&hi$#to$ :$i"er&it%, Wa&hi$#to$, .C "o#$acilitator G 1ea* *i&,&&io$ amo$# #ra*,ate &t,*e$t& relate* to )la$$i$# health% eati$# a$* )h%&ial ati"it% )ro#ram& G !r#a$i/e a$* oor*i$ate )are$t work&ho)& at Marie -ee* 4leme$tar% Shool o$ health a$* $,tritio$ i&&,e& Colla0orate with omm,$it% a*"i&or& to )la$ health i$itiati"e& at Marie -ee* 4leme$tar% Shool
Class o7 $%%> Council# Third Year Council and Class o7 $%%> Trustees, :$i"er&it% o' <ir#i$ia, 8,#,&t 200@ G ;re&e$t Charlotte&"ille, <8 Mem%er G Selete* 'rom i$ter"iew )roe&& to &er"e a& mem0er o' 30-40 )er&o$ #ro,) re)re&e$ti$# Cla&& o' 2008 G Co-or#a$i/e* MIhe We&tha"e$ ;ro2etN 'or Cla&& o' 2008 to re$o"ate omm,$it% e$ter at a low-i$ome ho,&i$# *e"elo)me$t G 8tte$* &emia$$,al o,$il meeti$#& to )romote e"e$t& 'or %o,$# al,m$i a$* &,))ort a )atter$ o' &er"ie 0etwee$ %o,$# al,m$i a$* the :$i"er&it% o' <ir#i$ia 2ikh 2tudents Association, :$i"er&it% o' <ir#i$ia, Charlotte&"ille, <8 8,#,&t 200B G Ma% 2008 President G Co-or#a$i/e* MAha$#ra Ni#ht,N a$$,al e"e$t "ote* C,lt,ral ;ro#rammi$# Aoar*6& M4"e$t o' the YearN 'or two o$&e,ti"e %ear& G 1e* meeti$#& to *i&,&& ,rre$t i&&,e& a$* )la$ ,lt,ral e"e$t& a$* omm,$it% &er"ie )ro2et&
;ational 2ociety o7 Collegiate 2cholars, :$i"er&it% o' <ir#i$ia, Charlotte&"ille, <8 8,#,&t 200@ G Ma% 2008 Secretary G -eor*e* mi$,te& 'or eah meeti$# a$* )o&te* ha)ter ,)*ate& a$* mi$,te& to $atio$al we0&ite
Young .omen 1eaders Program, :$i"er&it% o' <ir#i$ia, Charlotte&"ille, <8 8,#,&t 2004 G Ma% 2008 $acilitator Mentor G Me$tore* a$ at-ri&k &e"e$th-#ra*e #irl o$ i&&,e& o' &el'-e&teem, 0o*% ima#e, a$* aa*emi& G 1e* 1@-25 )er&o$-#ro,) o$&i&ti$# o' olle#e wome$ a$* &e"e$th- #ra*e #irl& i$ *i&,&&io$ o' lea*er&hi), 0o*% ima#e, a$* &el'e&teem
Hand in Hand# The 2tudent -entor Program, O,wait Cit%, O,wait 8,#,&t 2002 G H,l% 2005 $ounder and President Mentor G 1e* a$* *e"elo)e* me$tori$# )ro#ram )airi$# hi#h &hool &t,*e$t& with eleme$tar% &hool hil*re$ at the 8meria$ Shool o' O,wait G Create* a*"erti&i$# )o&ter&, a$$o,$eme$t&, a$* a))liatio$ )roe&& to rer,it hi#h &hool me$tor& a$* o"er&aw o$ti$,atio$ o' )ro#ram 'or two %ear& a'ter it& reatio$ G Wrote a$* *i&tri0,te* i$-*e)th ma$,al a0o,t reatio$ o' a me$tori$# )ro#ram to &t,*e$t& a$* a*mi$i&trator& at i$ter$atio$al &hool& thro,#ho,t O,wait
5814;TEE, A;6 C8--4;0TY 2E,50CE
Alternative 2pring reak, Sa$ Mi#,el *e 8lle$*e, Me(io Marh 200B Volunteer G I,tore* #irl& at Sa$ta H,lia !r)ha$a#e i$ writi$#, math, art, a$* m,&i &kill& G =$rea&e* aware$e&& a0o,t *ome&ti "iole$e, 'amil% )la$$i$#, a$* wome$6& health i&&,e& at loal e"e$t& thro,#h the Ce$ter 'or the 8*ole&e$t& o' Sa$ Mi#,el *e 8lle$*e JC8S8K
American 2chool o7 @uwait 2ummer 2chool, O,wait Cit%, O,wait H,$e 2005 G H,l% 2005 Volunteer Assistant Art &nstructor G L,i*e* mi**le &hool &t,*e$t& i$ ,&i$# art teh$i>,e& with a "ariet% o' me*ia i$l,*i$# waterolor, )a&tel&, a$* ar%li& .e"elo)e* art )ro2et& i$ olla0oratio$ with art i$&tr,tor
P,8"E2208;A1 A""010AT08;2 2009 G ;re&e$t 8meria$ Colle#e o' Cealthare 4(e,ti"e&, St,*e$t 8&&oiate 2009 G ;re&e$t Ihe Natio$al Ca)ital Cealthare 4(e,ti"e&, St,*e$t -e)re&e$tati"e a$* St,*e$t Committee Mem0er
American 2ociety o7 Clinical 8ncology, 8le(a$*ria, <8 8,#,&t 200B G H,$e 2009 Senior Program Assistant G ;la$$e* a$* im)leme$te* e*,atio$al )ro#ram& 'or the 8SC! 8$$,al Meeti$# G Ser"e* a& )rimar% o$tat 'or 400 i$"ite* 'a,lt% mem0er& G She*,le* a$* le* &e&&io$ )la$$i$# o$'ere$e all&
Cavalier 6ay Camp, Charlotte&"ille, <8 Ma% 200B G 8,#,&t 200B (ogistics "oordinator Ma% 200@ G 8,#,&t 200@ G Irai$e* a$* ma$a#e* am) &ta9 o' 24 olle#e &t,*e$t& G ;la$$e* *ail% am) ati"itie& 'or 120 am)er& a#e& @ G 11 G Ma$a#e* a +4,000 0,*#et to ),rha&e &,))lie& a$* 'oo*
45A 0ntramural 2ports, Charlotte&"ille, <8 8,#,&t 2003 G Ma% 200B "oordinator o) *+icials G S,)er"i&e* 40 0a&ket0all, &o't0all, a$* &oer o9iial& *,ri$# aa*emi %ear G Irai$e* o9iial& o$ r,le&, meha$i&, )o&itio$i$#, a$* o$Pit re&ol,tio$ thro,#h )re&e$tatio$& a$* o$-5el* trai$i$# &e&&io$& G Create* weekl% o9iiati$# &he*,le& a$* 0i-weekl% )a%roll *o,me$t& G
1EA6E,2H0P E3PE,0E;CE
The .esley "oundation at 45A, Charlotte&"ille, <8 H,$e 2004 G Ma% 200B Administrati,e -oard "o#"hairman Pro)essional Sta+ "ommittee "hairman G ;la$$e*, or#a$i/e*, a$* o"er&aw meeti$#& 'or the 7o,$*atio$6& #o"er$i$# 0o*% G Coor*i$ate* hiri$# o' $ew 8&&i&ta$t .iretor G Coor*i$ate* e"al,atio$ )roe&& o' .iretor
5814;TEE, A;6 C8--4;0TY 2E,50CE
.ashington 2treet 4nited -ethodist Church, 8le(a$*ria, <8 H,l% 200B G 2011 .orshi/ "ommittee Mem%er G ;la$ wor&hi) &er"ie& a$* &et ,) e>,i)me$t G Coor*i$ate #ame& 'or &,mmer "aatio$ 0i0le &hool
6anville ,egional -edical Center, .a$"ille, <8 H,$e 2005 G 8,#,&t 2005 -iomedical !thics "ommittee &ntern G -e&earhe* o)tio$& 'or ha$#i$# the ommittee6& ',$tio$ a$* *iretio$ a$* 0rie'e* ommittee mem0er& o$ 5$*i$#& Co$tate* ethi& o9ier& at other i$&tit,tio$& Management &n)ormation Systems &ntern H,$e 2004 G 8,#,&t 2004 G Sha*owe* &,))ort teh$iia$& o$ *ail% all& G ;er'orme* 0a&i om),ter re)air& a$* i$&tallatio$& thro,#ho,t the ho&)ital
P,8"E2208;A1 A""010AT08;2 2008 G ;re&e$t 8meria$ Colle#e o' Cealthare 4(e,ti"e&, St,*e$t 8&&oiate 2008 G ;re&e$t Ihe Natio$al Ca)ital Cealthare 4(e,ti"e&, St,*e$t Mem0er Andrew ;/ Pete a)ete@#wmail.#w,.e*,
4()ete* 201@ righam Young 4niversity, ;ro"o, :I Colle#e o' 7i$e 8rt& a$* Comm,$iatio$& A8 i$ Comm,$iatio$&: ;,0li -elatio$& em)ha&i& G AY: 8l,m$i -e)le$i&hme$t Sholar&hi) -ei)ie$t G ;ete a$* 8rle$e Carmo$ Sholar&hi) -ei)ie$t 8,#,&t 2001 G 8,#,&t 200B
P,8"E2208;A1 E3PE,0E;CE
The C. 6epartment o7 Health 2ervices -anagement & 1eadership, Wa&hi$#to$, .C Se)tem0er 200B G 2012 0raduate Administrati,e Assistant G 8*mi$i&trati"e &,))ort to *e)artme$t 'a,lt% a$* &ta9 G ;ro2et ma$a#eme$t i$ or#a$i/i$# a "ariet% o' *e)artme$t &)o$&ore* o$'ere$e& a$* e"e$t&
1i7e Cenerations Healthcare, .al% Cit%, C8 No"em0er 2008 G 8,#,&t 2009 Marketing/Admissions 1irector G Ma$a#e* marketi$# a$* a*mi&&io$& *e)artme$t 'or a 239 0e* SN7 G =$rea&e* Me*iare &kille* )atie$t& 'rom 25 a mo$th to o"er 50 hel)i$# the 'ailit% ollet o"er +2 millio$ i$ re"e$,e& )er mo$th G 4$'ore* a$* omm,$iate* C=;88 #,i*eli$e& to )atie$t& a$* )atie$t&6 'amilie& whih i$rea&e* )atie$t &ati&'atio$ &ore&
Agel Enterprises, 11C, ;ro"o, :I H,l% 200B G H,$e 2008 Pu%lic Relations S/ecialist G Wrote )re&& relea&e& a$* )er'orme* me*ia )ithi$#, whih le* to C4! 0ei$# $ame* o$e o' :tah6& to) 40 e(e,ti"e& ,$*er 40, a$ 8#el )ro*,t $ame* a& 0e&t $,tritio$al &,))leme$t i$ :tah a$* a "i&it 'rom :tah Lo"er$or Ho$ C,$t&ma$ G .e&i#$e* $ew or)orate me*ia relatio$& we0&ite that 0eame a 7i$ali&t i$ 0e&t we0&ite *e&i#$ 'or $atio$al awar* )ro#ram G -eei"e* 4m)lo%ee o' the Mo$th 8war* 'or Ma% 'or &a"i$# om)a$% o"er +100,000 i$ a*"erti&i$# o&t& thro,#h ;- 1EA6E,2H0P E3PE,0E;CE
Health 2ervices -anagement and 1eadership 2tudent Association, Wa&hi$#to$, .C Ha$,ar% 2010 G ;re&e$t President !lected G Wrote a$* *e&i#$e* ,$i>,e Aoar* ;rolamatio$ &i#$e* 0% mem0er& o' the S8 Aoar* G !2#o+icio mem0er o' the CSM1 8l,m$i 8&&oiatio$ Aoar* G 7orme* $ew ;re&i*e$t& Co,$il or#a$i/atio$ 'or )a&t )re&i*e$t& o' the &t,*e$t a&&oiatio$
Y4 Young Alumni Association, ;ro"o, :I Ha$,ar% 2008 G 8,#,&t 2008 President G 1a,$he* the or#a$i/atio$ a'ter &e"e$ %ear& o' *orma$% G !r#a$i/e* &tr,t,re a$* 2o0 re&)o$&i0ilitie& 'or &i(-mem0er %o,$# al,m$i 0oar* G Ma$a#e* 0a&e0all tail#ate e"e$t 'or %o,$# al,m$i 'amilie&, whih attrate* more tha$ 450 %o,$# al,m$i
ProvoB8rem area Cham:er o7 Commerce, ;ro"o, :I Ha$,ar% 2008 G H,$e 2008 (eadershi/ Academy mem%er G 4$rolle* a$* #ra*,ate* 'rom Cham0er o' Commere 1ea*er&hi) 8a*em%
Y4 2tudent Alumni Association, ;ro"o, :I Ma% 200@ G Ma% 200B !2ecuti,e Vice President G =$rea&e* "ol,$teer )artii)atio$ 0% 40 )ere$t thro,#h tar#et marketi$# G =$rea&e* mo$etar% *o$atio$& 0% +5,B00 'rom )re"io,& %ear "ia marketi$# e9ort& a$* athlete )artii)atio$ G Wrote )re&& relea&e& re&,lti$# i$ ),0li&hi$# o' &e"e$ artile& i$ loal $ew&)a)er& Jo$e 'ro$t )a#eK 5814;TEE, A;6 C8--4;0TY 2E,50CE
Cali7ornia Association o7 Healthcare 1eaders, Sa$ 7ra$i&o, C8 7e0r,ar% 2009 G H,l% 2009 Pu%lic Relations "onsultant G Create* a$* )re&e$te* 0,&i$e&& )ro)o&al to 8CC4 -e#e$t o$ the re*e&i#$ o' the C8C1 we0&ite G Create* a omm,$iatio$& )la$ tem)late 'or ',t,re ),0liit% e9ort& o' the C8C1 G ;er'orme* me*ia relatio$&, wrote )re&& relea&e& a$* me*ia a*"i&or% 'or C8C1 e"e$t
The Church o7 Desus Christ o7 1atter!day 2aints, !akla$*, C8 8,#,&t 2002 G 8,#,&t 2004 $ull#time Ser,ice Missionary G !"er&aw )ro*,ti"it% o' 20 mi&&io$arie& a& a /o$e lea*er G ;re&e$te* weekl% trai$i$#&, trake* )ro*,ti"it% a$* )ro"i*e* o,$&eli$# 'or mi&&io$arie& &er"i$# i$ m% /o$e G ;er'orme* me*ia relatio$&, wrote )re&& relea&e& a$* me*ia a*"i&or% 'or C8C1 e"e$t
oy 2couts o7 America, 7re&$o, C8 8,#,&t 1995 G 8,#,&t 2000 !arned !agle Scout Rank 3444 G 1e* a$* ma$a#e* 50 "ol,$teer& o"er a three *a% )erio* i$ re"itali/i$# a )i$i area at a loal )ark G -eei"e* o"er 50 Merit Aa*#e& a$* 3 )alm& *,ri$# &o,ti$# te$,re
P,8"E2208;A1 A""010AT08;2
8meria$ Colle#e o' Cealthare 4(e,ti"e&, 8&&oiate 2008 G ;re&e$t Natio$al Ca)ital Cealthare 4(e,ti"e&, St,*e$t Mem0er 2009 G ;re&e$t Cealthare 7i$a$ial Ma$a#eme$t 8&&oiatio$, St,*e$t -e)re&e$tati"e 2010 G ;re&e$t
-orehouse College, 8tla$ta, L8 8,#,&t 2005 G .eem0er 2009 Colle#e o' 8rt& a$* Sie$e& Aahelor o' Sie$e i$ Aiolo#% P,8"E2208;A1 E3PE,0E;CE
.ashington Hospital Center F-ed2tar HealthG, Wa&hi$#to$ .C H,$e 2010 G ;re&e$t Sta+ing "oordinator 1i,ision o) 5ursing Administration G !"er&ee &ta9i$# oor*i$atio$ a$* )laeme$t 'or all ;atie$t Care :$it& i$ aor*a$e with WCC &ta9i$# )ri$i)le& G Ma$a#e the olletio$ a$* *i&0,r&eme$t o' &tati&tial i$'ormatio$ relate* to the *e)artme$t 'or ),r)o&e o' e"al,atio$, o$trol a$* )la$$i$# G Coor*i$ate a$* mai$tai$ a#e$% 0,*#et with Se$ior N,r&e Ma$a#er& a$* N,r&i$# .iretor 'or ;atie$t Care :$it& G Mai$tai$ all e*it& 'or *ail% )a%roll, Clair <ia, a$* e$tral &ta9i$# *ata0a&e&
6ell Perot 2ystems! -ed2tar Health Account, Wa&hi$#to$ .C H,l% 2008 G H,$e 2010 Telecommunications Analyst G Ma$a#e* Sk%tel F :S8 Mo0ilit% ;a#er 8o,$t? a$$,al 0,*#et +500,000 G .e)artme$tal 0illi$#, reim0,r&eme$t a$* i$"oie )a%me$t 'or Wa&hi$#to$ Co&)ital Ce$ter, Natio$al -eha0ilitatio$ Co&)ital, Me*Star -e&earh =$&tit,te F Me*Star =$'ormatio$ S%&tem& .e)artme$t G 4mer#e$% )re)are*$e&& team Mem0er, )ro#rammi$# *e"ie& to re&)o$* to Cli$ial 4mer#e$% a$* 4mer#e$% ;re)are*$e&& Noti5atio$ Co*e&, !"er&i#ht o$ 3,000 e(e&& Sk%tel F :S8M ;a#er& Ma$a#e* Wa&hi$#to$ Co&)ital Ce$ter )a#er o9ie
.ashington Hospital Center F-ed2tar HealthG, Wa&hi$#to$, .C Ha$,ar% 200B G H,$e 2010 Patient 6 0uest Ser,ice Re/resentati,e7 0uest Accommodations 8/art time9 G Ni#ht a,*itor a$* 'ro$t *e&k atte$*a$t 'or Wa&hi$#to$ Co&)ital Ce$ter Cotel, G ;rimar% o$tat to )atie$t&, 'amil% mem0er& or "i&itor& e$teri$# WCC, )ro"i*e* )atie$t i$'ormatio$, loatio$ o' &er"ie& i$ WCC a$* thro,#ho,t Wa&hi$#to$ .C G 4mer#e$% -oom =$'ormatio$ .e&k G Se,re* a$* im)leme$te* teh$olo#% &,))ort 0% e&ta0li&hi$# i$ter$et a$* wirele&& o$$etio$ a$* )ro#rammi$# a0le 'or #,e&t room& i$ hotel
2hell Hydrogen & ,o:inson Associates 11C, Wa&hi$#to$, .C No"em0er 200@ G H,l% 2008 "onsultant G Se,re* a$$,al #ra$t 'rom the .e)t. o' 4$er#% to ',$* the Shell C%*ro#e$ 4*,atio$ =$itiati"e G ;,0li &)eaker a$* Semi$ar -e)re&e$tati"e 'or Shell C%*ro#e$ a$* Le$eral Motor& M.e)t. o' 4$er#% <ali*atio$ ;ro2etN G ;ro"i*e* to,r& a$* i$'ormatio$ &emi$ar& 'or .C loal #o"er$me$t, 'orei#$ *i#$itarie&, or). e(e,ti"e&, Co$#re&& a$* White Co,&e Sta9 o' the 5r&t h%*ro#e$ a$* #a&oli$e retail &tatio$ i$ North 8meria G Worke* with .C ;,0li Shool& J.C;SK &ie$e hair to reate a h%*ro#e$ ',el ell ,rri,l,m a$* e&ta0li&he* the C%*ro#e$ 4*,atio$ =$itiati"e 'or .C;S
;avy ,esearch 1a:, Wa&hi$#to$, .C S,mmer 2004 F S,mmer 2005 Summer &ntern G 2005 .e&i#$e* 0io&e$&or& ,&i$# )ro)rietar% eletro &,r'ae hemi&tr% a$* #alli,m $itri*e )late& to *etet a$thra( a$* rii$? )ro,re* a la&&i5e* )ate$t? om)lete* the material& &a'et% *ata te&t o$ a$thra( a$* rii$, erti5e* 'or la0 &a'et% trai$i$# G 2004 Ie&te* 0io&e$&or& to *etet a$thra( ,&i$# 'ore *i&rimi$atio$ a&&a%&? the &)ei5 mo*el wa& a &a$*wih a&&a% that ,&e* 0iot$%late* a$ti0o*ie& a$* ma#$eti 0ea*&
-inorities 0n -edicine Enrichment Program "isk and 5ander:ilt 4niversity, Na&h"ille, IN Student G 8tte$*e* Semi$ar& o$ Cealth Care 1ea*er&hi) G Iook 8*"a$e Le$eral Chemi&tr% a$* !r#a$i Chemi&tr% G Sha*owe* Me*ial Shool St,*e$t&
S,mmer 2003 ;ational Youth 1eadership "orum on -edicine 4C1A, 1o& 8$#ele&, C8 Am%assador G -e)re&e$te* Wa&hi$#to$, .C a$* St. Hoh$6& Colle#e Ci#h Shool at Cealth Care3Me*ii$e 7orm G 8tte$*e* Semi$ar& o$ 1ea*er&hi) i$ Cealth Care a$* Choo&i$# 8 Career i$ Cealth Care G Sha*owe* ;h%&iia$& a$* Co&)ital 4(e,ti"e& at Ce*ar Si$ai Co&)ital
5814;TEE, A;6 C8--4;0TY 2E,50CE
S,mmer 2002 Alpha Phi Alpha "raternity 0nc/! Alpha ,ho Chapter, 8tla$ta, L8 8)ril 200@ G ;re&e$t "ha/ter Mem%er G .C -e)re&e$tati"e 'or Lo to Ci#h Shool Lo to Colle#e ;ro#ram: Me$tor %o,$# male& a$* )ro"i*e #,i*a$e to a))l%i$# a$* &eleti$# Colle#e G .ream 7o,$*atio$: .C -e)re&e$tati"e to rai&e ',$*& 'or .r. Marti$ 1,ther Oi$# Memorial
2@0112
1a$#,a#e&: ;ro5ie$t i$ Aa&i S)a$i&h
-aha 2ampath maha&@#wmail.#w,.e*,
E64CAT08;
4niversity o7 Cali7ornia, Mere*, C8 8,#,&t 2012G H,$e 201B Shool o' Soial 4olo#%, Shool o' Aiolo#ial Sie$e& Aahelor o' 8rt& i$ ;&%holo#% a$* Soial Aeha"ior Mi$or i$ Aiolo#ial Sie$e& G .ea$6& li&t G St,*% 80roa*: :$i"er&it% o' Cam0ri*#e
P,8"E2208;A1 E3PE,0E;CE
Carney Educational 2ervices, New)ort Aeah, C8 H,l% 200B G .eem0er 200B Pri,ate Tutor G 8i*e* mi**le a$* hi#h &hool a#e* hil*re$ im)ro"e their &ta$*ar*i/e* te&t &ore& G Worke* lo&el% with &,)er"i&or& i$ reati$# a ,rri,l,m 'or the No Chil* 1e't Aehi$* )ro#ram
5ictoriaHs 2ecret, New)ort Aeah, C8 Marh 200@ G H,$e 200B Sales S/ecialist G Ma$a#e* a$* ro&&-trai$e* a &ta9 o' &i( &ale& a&&oiate& i$ all &e"e$ &ale& /o$e& G !r#a$i/e* a$* hel* mo$thl% team meeti$#& to im)ro"e )romotio$ o' $ew )ro*,t& a$* e$ha$e ,&tomer &ati&'atio$ G 8&&i&te* &tore ma$a#er i$ &he*,li$# a$* other a*mi$i&trati"e ta&k&
1EA6E,2H0P E3PE,0E;CE
0nterdisciplinary 2tudent Community!8riented Prevention Enhancement 2ervice, Wa&hi$#to$, .C 8,#,&t 2009 G ;re&e$t Team $acilitator G !r#a$i/e )ro2et& that a**re&& omm,$it% Gi*e$ti5e* $ee*& a$* took i$itiati"e to a&&,me lea*er&hi) role withi$ the team G -e&)o$&i0le 'or )ro"i*i$# health-relate* &er"ie& to ,$*er&er"e* a$* ,$i$&,re* i$*i"i*,al& i$ the .C area G Col* 0i-mo$thl% meeti$#& a$* worke* lo&el% with 'a,lt% a$* omm,$it% )ree)tor& to work o$ &)eial )ro2et& relati$# to )eo)le with *i&a0ilitie&
4C0 8n Track, 7re&$o, C8 8,#,&t 200B G H,$e 2008 Pu%licity and $undraising "hair G !r#a$i/e* a$* &er"e* a& a team lea*er 'or the 8$$,al am) to hel) hil*re$ o' )ri&o$er& ,$*er&ta$* the im)orta$e o' olle#e e*,atio$ G ;,0lii/e* a$* rai&e* ',$*& 'or the $ewl% 'o,$*e* or#a$i/atio$ 0% rer,iti$# mem0er& a$* attrati$# &)o$&or&
5814;TEE, A;6 C8--4;0TY 2E,50CE
2chool o7 -edicine and Health 2ciences, Sa$ 7ra$i&o, C8 Ha$,ar% 2010 Standardi:ed Patient;s "oach G Collete* &ati&'atio$ *ata o$ )atie$t6& e$o,$ter with me*ial &hool &t,*e$t& G Co$*,te* &t,*e$t 'o,& #ro,)& to ,$*er&ta$* the im)at o' worki$# with *i&a0le* i$*i"i*,al&
8range County 8n Track, Sa$ta 8$a, C8 Marh 200B G Se)tem0er 2008 Mentor G Me$tore* hil*re$ o' )ri&o$er& o$ a weekl% 0a&i& a$* &er"e* a& a role mo*el G Worke* lo&el% with C4!37o,$*er a$* or#a$i/e* e"e$t& 'or hil*re$ a$* their 'amilie& G -ai&e* e$o,#h ',$*& 'or all me$tee& to atte$* the 8$$,al am) at $o har#e
P,8"E2208;A1 A""010AT08;2
8meria$ Colle#e o' Cealthare 4(e,ti"e&, St,*e$t 8&&oiate 2009 G ;re&e$t Ihe Natio$al Ca)ital Cealthare 4(e,ti"e&, St,*e$t Mem0er 2009 G ;re&e$t Natio$al 8&&oiatio$ o' Cealth Ser"ie& 4(e,ti"e&, St,*e$t Mem0er 2009 G ;re&e$t Cealthare 7i$a$ial Ma$a#eme$t 8&&oiatio$, St,*e$t -e)re&e$tati"e 2009 G ;re&e$t %e:eren1e7 Aoonstra, H#D# &2010'# Winning Campaign: Caliornia!s Concerted "ort to #educe $ts Teen Pregnancy #ate% Guttmacher 1nst!tute 13 &2'# .etr!eved 3ul% 1, 2013 0rom httpFEE+++#guttmacher#orgEpu(sEgprE13E2Egpr13021<#html
"al!0orn!a Department o0 ,u(l!c Health# &2013'# "ount% health status pro0!les PData 0!leQ# .etr!eved 0rom httpFEE+++#cdph#ca#govEpu(s0ormsE,u(sE?H1.,ro0!les2013#pd0
"D" 6 A(out $een ,regnanc% 6 $een ,regnanc% 6 .eproduct!ve Health# &2012, Novem(er 21'# "enters 0or D!sease "ontrol and ,revent!on# .etr!eved 3une 30, 2013, 0rom httpFEE+++#cdc#govE$een,regnanc%EA(out$ /rost 33, Darroch#, >, .eme= @#&200<'# 1mprov!ng contracept!ve use !n the 4n!ted tates Ne+ )or*# &uttmac'er $nstitute( )# .etr!eved 3ul% 6, 2013, 0rom +++#guttmacher#orgEpu(sE200<E08EE1mprov! ng"ontracept!ve4se#pd0 3ohnson, H#.# &2003'# *aternity +eore *aturity% ,u(l!c ,ol!c% 1nst!tute o0 "al!0orn!aD &3'# .etr!eved 3ul% 1, 2013 0rom httpFEE+++#pp!c#orgEcontentEpu(sEcacountsE""R203H3""#pd0 Mart!n, 3# A#, Ham!lton, A# >#, Centura, # 3#, ?sterman, M# 3# S#, W!lson, >#"#, and Mathe+s, $# 3# &2012'# +irt's: ,inal data or -.).# Nat!onal v!tal stat!st!cs reports 61&1'# H%attsv!lle, MDF Nat!onal "enter 0or Health tat!st!cs# .etr!eved 3ul% 1, 2013 0rom httpFEE+++#cdc#govEnchsEdataEnvsrEnvsr61Envsr61R01#pd0 tanger6Hall S/, Hall DW# &2011'# A(st!nence6onl% educat!on and teen pregnanc% ratesF +h% +e need comprehens!ve se5 educat!on !n the 4## PLoS /0" 1( ().)% do!F10#1371E2ournal#pone#002D68< $he ?00!ce o0 Adolescent Health6$rends !n $een ,regnanc% and "h!ld(ear!ng# &2013, 3une 2D'# 4n!ted tates Department o0 Health and Human erv!ces# .etr!eved 3une 30, 2013, 0rom httpFEE+++#hhs#govEashEoahEadolescent6health6top!csEreproduct!ve6healthEteen6 pregnanc%Etrends#html