Girls Inc. of Alameda County: 2026 Health Empowerment & Leadership Summer Application

This segment is for the youth who is applying, below there will be some questions the parent/guardian must complete to submit the application.

Health Empowerment & Leadership
The HEAL program which stands for, Health, Empowerment & Leadership is a program for high school girls and gender expansive youth entering grades 9th – 12th during the 2026-27 school year. The HEAL program is for youth interested in being part of a movement for equity, dignity, and respect for all. The program engages young people in learning and dialogue about access to quality healthcare, with a focus on reproductive health inequities affecting their communities and the nation.

This summer we are excited to offer Health Empowerment & Leadership, from June 15 - July 10 (no program on Friday June 19th & Friday, July 3rd).

This summer, Health Empowerment & Leadership invites girl‑identified youth to step into a movement built on equity, respect, and real community change. It’s a space where teens build confidence, leadership skills, and a strong understanding of their rights while exploring how health systems and policies shape their everyday lives. Participants dive into the fight for a future where everyone has access to quality healthcare, with a focus on the reproductive health inequities impacting women, girls, BIPOC communities, and LGBTQIA+ folks. Teens will gain the knowledge and tools to advocate for themselves and the people they care about, learning what their reproductive health rights are as young people and how to use their voices to push for justice. The program centers youth voice and creates a safe, open environment where teens can share, connect, and grow alongside each other and their facilitator. Along the way, they build lifelong self‑advocacy skills, strengthen their confidence, and develop a deeper understanding of how to lead meaningful change. At the end of the program, participants team up on a creative art or media project to raise awareness about reproductive health justice and inspire others to get involved. By the end of the summer, teens walk away empowered, informed, and ready to lead with courage and purpose.

Youth will get a $150 stipend for attendance, participation, and project completion.

1. Youth/Applicant's Full Name *This question is required.

2. Youth/Applicant's Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

3. Youth's Primary Home Address *This question is required.

Street Address/P.O. Box
City
State
ZIP

4. Youth's Cell Phone (if applicable)

5. Youth's Email Address *This question is required. This question requires a valid email address.

6. Please select your preferred method of contact *This question is required.

Email
Home Phone
Cell Phone

7. What high school do you currently attend or will attend in the Fall? *This question is required.

8. What grade are you currently in?

9. What size T-shirt do you wear? *This question is required.

10. How did you learn about Health Empowerment & Leadership? Please list name(s) if applicable. *This question is required.

11. Are you involved or have you been involved with any Girls Inc. programs?
(Select all that apply) *This question is required.

12. Do you have family members who have been part of the Girls Inc. Program?
(Please list there name and the program they were in)

13. Will you be involved in any additional activities this summer, such as summer school, working, sport teams? If applicable, please list activities:

14. Why do you want to be part of Health Empowerment & Leadership?
(Please answer in two to three sentences)

Girls Inc. of Alameda County: 2026 Health Empowerment & Leadership Summer Application

Youth Applicant Portion