Become a Chapter

 Northwest Chapter: Washington State


Form A Chapter

Why become an ULTRA Teen Choice chapter?
ULTRA Teen Choice helps youth to succeed by providing education, peer counseling and accountability relationships for youth that will empower them to be successful in life by choosing abstinence from sex outside of marriage and abstinence from drugs and alcohol.  As a chapter of ULTRA Teen Choice you will be carrying out the same mission at your location.  Chapters receive a complete start up kit of field tested PowerPoint presentations, peer counseling scripts, DVD videos and curricula.  A print manual is included, plus a CD ROM of reproducible forms, scripts and materials.  Each chapter will receive an on location one day training on site that will teach staff and volunteers how to implement the program.  ULTRA Teen Choice will provide ongoing technical assistance.  Download the application now  or call Richard at 202-558-5550 to receive an application by mail or fax.

The Chapter Start Up Kit contains the following materials:

  •     Free Teens Living in the Age of Aids & Deciding your future CD
  •     ULTRA Teen Choice Manual; printed
  •     UTC manual:  CD
  •     UTC Media resource DVD
  •     Reality Check Breakfast DVD
  •     I Am Abstinence Working DVD
  •     Youth Forum III DVD
  •     Youth Forum II DVD
  •     High School Club Formation DVD
  •     STAR Guide Mentor Testimonies DVD
  •     Why Wait: Classroom Peer Counseling DVD
  •     Youth Forum I DVD
  •     RQ Relationship Intelligence student workbook (17 lessons plus appendix)   
  •     True Family Values CD (6 PowerPoint presentations) plus manual (Optional)


ULTRA Teen Choice (UTC) Chapters carry out the mission and purpose of ULTRA Teen Choice.  UTC Chapters enable organizations, schools, churches or other groups to provide education, peer counseling and accountability relationships for their youth and young adults.  To apply to become a Chapter fill out the Chapter application and return it to ULTRA Teen Choice by email, fax or mail.  We will contact you to schedule an in person or telephone consultation to review the materials and process, as well as answer any questions. 

Submit your application by email or mail to:

ULTRA Teen Choice
PO Box 48608
Washington, DC  20002
Fax:  202-547-1853

Chapter Application for Organizations: MS Word
Chapter Application for Individuals:  MS Word 
Chapter Director Agreement:  MS Word
Reference Form for Individuals:  MS Word
 Chapter Application for Organizations: PDF  Chapter Application for Individuals:  PDF file  Chapter Director Agreement: PDF File
 Reference Form for Individuals: PDF File