empowerU Application | 2021-22
At YWCA Northern New Jersey, we believe that every girl has the ability to become a great leader. empower(U) will help participants realize this within themselves so that they can flourish throughout high school, college, and beyond. After all: empowered women start with empowered girls!
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1.       Please tell us how you heard about empower(u)? *
2.       Parent Name *
3.       Parent address *
4.       Parents email/contact information *
5.       This form indicates whether you do/do not give the YWCA Northern New Jersey permission to use your or your child’s photograph/video for communications, marketing, and/or public relations purposes. *
6.       Student's name *
7.       Student's email *
8.       Student's date of birth *
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9.       Student's high school *
10.   Student's ethnicity (for grant reporting purposes only) *
11.   Student's grade *
12.   Student’s hobbies/interests *
What extra-curricular activities are you involved in? *
Why are you interested in participating in our Empower(u) program? *
13.   Student’s Preferred method of communication *
14.   Are you prepared to commit to 2 meetings per month? *
15.   Will you be attending the 3 in-person meetings we will have throughout the year? September Kick off, December/January holiday gathering, June farewell gathering. *
16.   What time works best for you to attend meetings virtually? *
17.   T-shirt size preference *
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