Wufoo

Spring 2019 Great American Condom Campaign

Care about access to birth control and interested in making a difference in your community? Join the Great American Condom Campaign and get a free box of 500 Trojan condoms!

The Great American Condom Campaign is a youth-led grassroots movement to make the U.S. a sexually healthy nation. Each year, GACC members give out 1,200,000 Trojan Brand condoms on college campuses across the United States.

PLEASE APPLY BELOW. ***DEADLINE EXTENDED*** Applications will close by midnight, January 9th 2019.

The program is for college students in the United States between the ages of 18 and 29. If you are a college/university staff member who is interested in purchasing discounted condoms, please visit trojanprofessional.com.

Have questions? Please email Kinjo Kiema, Manger of State and Local Campaigns at kinjo@advocatesforyouth.org.

0% Your Information

Name * First Last
Birth Date * MM / DD / YYYY
Email Address *
Cell Phone Number * ### - ### - ####
A phone number is needed for shipping condoms. By providing your cell phone number, you agree to receive calls and texts to that number regarding Advocates for Youth.
Gender *
Sexual Orientation *
Race/Ethnicity *
SCHOOL NAME - IMPORTANT: Fill in the COMPLETE NAME of your college/university (e.g., University of California–San Francisco, State University of New York-Binghamton) *

Please type in the FULL NAME of your school -- NO abbreviations.
Select School Type (check all that apply) *
Public Private Technical/Vocational Community College Historically Black College/University (HBCU) Tribal College Hispanic Serving Institution Asian American and Native American Pacific Islander-Serving Institution (AANAPISI)
In which CITY is your school located? *
In which STATE is your school located? *
Year in School *
Do you live ON or OFF campus? *
ON campus OFF campus
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