Friendships and Dating Program Mat-Su Valley

For Young Adults ages 18-24 years old

*Applicants will be asked to participate in an interview

Friendship & Dating at Stone Soup Group is an interactive program designed to teach 18-24 yr old young adults, that experience intellectual or developmental disabilities, how to create and maintain healthy relationships.

What to expect:
• Ongoing class program starting April 25th, 2023 and ending on June 29th, 2023
• Attend twice a week – Tuesdays and Thursdays @ 1pm
• Discuss types of relationships, personal boundaries, independent living skills and more

*18 – 24 year old Young Adults who are registered for the ongoing Friendship and Dating Spring/Summer Classes are required to attend one of the two Pre-Friendship and Dating Informational classes with their Parent or Guardian – Click the link at the bottom of the page after completing this registration.

*Registration closes March 31st, 2023

Friendships and Dating Mat-Su Application

Attendee Registration:

*Note: Information and questionnaire to be completed by the attendee participating in the classes. All classes are in-person only for ages 18-24 years old.

Attendee First Name 

Attendee Last Name

Attendee Age

Attendee Email

Attendee Mobile Phone

Best way to contact you?

PhoneTextEmail

Best time to contact you?

Mailing Street 

City

State

Please select... AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY PR AB BC MB NB NL NT NU ON PE QC SK YT

Postal Code

Borough/Region 

Please select... Aleutians East Aleutians West Anchorage Bethel Bristol Bay Denali Dillingham Fairbanks North Star Haines Juneau Kenai Peninsula Ketchikan Gateway Kodiak Island Lake And Peninsula Matanuska Susitna Nome North Slope Northwest Arctic Prince Wales Ketchikan Sitka Skagway Hoonah Angoon Southeast Fairbanks Valdez Cordova Wade Hampton Wrangell Petersburg Yakutat Yukon Koyukuk

Gender

FemaleMaleNon-binary Prefer not to answer

Race

American Indian or Alaska NativeAsianBlack or African AmericanPacific IslanderWhiteSome other racePrefer not to answer

Attendee Questionnaire:

Are you able to attend all in-person classes on Tuesdays and Thursdays from 1pm - 2:30pm at the MatSu Health Foundation Building between 4/25/23 - 6/29/2023

YesNoMaybeOther

If other, please explain. 

Do you have access to reliable transportation for all in-person classes?

YesNoUnsure

Are you able to read, understand and follow through on written information without assistance?

YesNoUnsure

Do you need any accommodations in order to participate?

YesNo

If yes, what accommodations are helpful/useful/supportive?

What activities do you really enjoy?

What community/transition skills do you have?

CookingPlanningMaking AppointmentsMaking Phone CallsSelf-advocacyCommunicationOther

If other, please list skills. 

Why do you want to be in the class?

Do you use Social Media? What type of Social Media do you use?

Parent/Guardian Information:

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email  

This information will also be used for Emergency Contact 

*Attendees will be interviewed prior to the start of the classes.

*Individuals who are able to participate must experience developmental disabilities and/or intellectual disabilities.

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To Register for the Pre-Friendship and Dating Informational Classes – CLICK HERE