Project Empowerment: Dynamic Determined Divas (3D) Interest Form
Welcome! We're so happy you're interested in becoming a Dynamic Determined Diva! Please complete the confidential form below so one of our Diva staff members can contact you and provide more information about how to join our family.

Our 3D program was designed by and specifically for Black/AA Cisgender and Black/AA Transwomen living in Alameda and Contra Costa Counties. We provide support through innovative, culturally appropriate, peer-based services in your language and from your perspective, while honestly addressing personal and social barriers to health equity and self-sufficiency. ALL services are provided in a safe secure space to protect your privacy and support your success.

Project Empowerment: Dynamic Determined Divas (3D) is a program supported by UCSF Benioff Children's Hospital Oakland and the California Department of Public Health.


Sign in to Google to save your progress. Learn more
First Name *
Last Name
Email *
Phone Number
Mailing Address
Girl, tell us what we can do for you... *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy