The Power to Be International (PTBI)
Interested in participating in the Engaging Girls: Safe Return to School Program? Please complete all fields in this application form. Eligible to Black girls going into grade 8, 9, or 10.  Deadline to apply: June 28th, 2021
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Full name of applicant: *
Home address: *
City: *
Postal Code: *
Name of parent/guardian *
Parent/guardian telephone number: *
Parent/guardian email address: *
Applicant's date of birth *
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What grade will the applicant go into in September? *
Name of applicant's school: *
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