Apply To Become a Member of the First Ladies of Poverty Foundation

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Apply below so that we can determine if our program is the best fit for you!

Your First and Last Name *

Your e-mail address *

Your Mobile Phone Number (123) 456-7890: *

Your Address - Street, City, State, Zip, Country (Example: 1 Peach St, Apt 2, Test, Louisiana, 71202, United States) *

Please select the best answer for you. *

I am a person of predominantly African descent.

I am a person of predominantly Asian descent.

I am a person of predominantly European descent.

I am a person of predominantly Latinx descent.

I am person of predominantly Native American descent.

Which type of development do you want most? *

Personal Development

Professional Development

Leadership Development

Financial Development

All of the above or a Mix of Them

Are You a Student (currently in some type of formal education program)? *

Yes

Do You Identify as a U.S. Immigrant? (If yes, we definitely want to make sure we create programming that caters to our amazing immigrant community!) *

Yes

Please Choose Your Age Range *

17 and Under

18-25

25-40

40-55

55-65

65+

If you have social media, please paste your links below or list your username (example: instagram.com/firstladiesofpovertyfoundation; facebook.com/firstladiesofpovertyfoundation; linkedin.com/1234567/example-example) If not applicable, please put not applicable *

Please choose the best answer for you *

I seek to be a mentor.

I seek to be mentored / find a mentor.

I seek to find a mentor and be a mentor to someone else.

I am not sure yet.

Not applicable

We LOVE to celebrate Birthdays! Please Let Us Know When Your Birth Date Is. *

YYYY

How Many Languages Do You Speak? *

More than 3

What have you done in the past 6 months to empower BIPOC / Minority Communities? Please be as specific as possible. *

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