Executive Summary This grant proposal is for a public health and research initiative developed by the Susan G. Komen to address the issue of breast cancer among young adults. An increased prevalence, and therefore, morbidity and mortality in the young adult age group 18-35 is of growing concern. Furthermore, research indicates that the majority of young adults due to not engage in healthy behaviors or conduct self-examinations or clinical mammograms that would enable early recognition of cancerous tissue which significantly increases the effectiveness of treatment and increases the risk of survival. A lack of education, experience, or comfort with the topic contribute to the issue in this vulnerable population in combination with economic and social insecurity that limit access to healthcare. The initiative consists of a two-tier program which is composed of an educational component and a healthcare screening and examination. In combination, free access to these critical aspects of breast cancer awareness will contribute to an increased recognition of the disease. It is hypothesized that helping to develop awareness and competent health habits at an early age will lead to similar behaviors after 40 years of age when risk factors and incidence rates for breast cancer increase dramatically. The Susan G. Komen has analyzed its revenues and program costs, and it is estimated that the program will cost $9,585,000. The organization is the largest and most reputable fundraising foundation for breast cancer in the United States. It is proud to be at the forefront of widespread public health initiatives to improve the education and lives of young women. Statement of Need Breast cancer prevalence is increasing in the young adult population. Furthermore, survival rates have remained stagnant due to more aggressive and invasive forms of breast cancer found in young women. Traditionally, cancer is associated with older adults over the age of 40. While only 4% of breast cancer cases affected women under 40 and less than 100 people were under the age of 30 in 2017, this age group is seeing gradual annual growth of incidence rates. In a study conducted with college students majoring in various disciplines of health care, it was determined that 53.3% conducted regular breast self-examinations and only 12% received an annual clinical breast examination, despite having knowledge about the disease. Other studies among college students show that knowledge about breast cancer is potentially outdated, inconsistent, or inaccurate. Results vary by race as well, suggesting the existence of vulnerable populations. The popular culture misconceptions and lack of knowledge about breast cancer are critical factors since education is one of the primary indicators for the performance of risk-reducing behaviors. Furthermore, the education and screening provided to young adults may result in positive health practices and comfort in later years, when risk factors and rates for breast practice tend to increase. If research shows such discouraging results among college-based students, it can be assumed that young adults without an education may become at-risk. College education attainment is