SexEdVA’s PREP is a broad-based and collaborative effort that emphasizes both abstinence and contraception and addresses the adulthood preparation subjects of healthy relationships, parent-child communication, educational and career success, healthy life skills, and adolescent development to significantly reduce the number of teen pregnancies in the Harrisonburg, Rockingham, and Page counties of Virginia. SexEdVA’s PREP initiative replicates two evidence-based programs in school with youth ages 10-19: Get Real and Safer Choices. The initiative focuses on reducing disparities in teen pregnancy rates among three priority populations: Latino youth, rural youth, and youth living in areas with high teen pregnancy rates.