BWA Placement Quiz and Enrollment

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Greetings, Sistahs! BWA Classes resume Sunday, October 10, 2022. Once you have completed this form, feel free to share it PRIVATELY with another Black woman you feel could benefit from cultivating development in a safe, structured space for Black women.

Email *

Name as it appears on driver's license or government-issued identification. *

Mailing address *

Including city, state and zip. This information will be used to receive all certifications and important hardcopy documents.

Age range *

18-24

25-30

31-35

36-40

40+

50+

55+

Were you a genetically born female who currently has female genitalia. *

Yes

Do you have any children? *

Yes

I am helping raise children I did not birth.

Yes. However, they do not live with me (although they are minors).

Yes. However, they are adults living on their own.

Relationship status *

Single

Married

Currently in a long-term (3+ years) committed relationship

I'm currently in a long-term (3+ years) poly-ship.

Although I'm single, I'm a poly woman.

Divorced

I'm not really sure what's going on with my love life.

It's messy.

Have you recently been in an abusive relationship? *

Within 12 months

Yes

No; thankfully.

I am CURRENTLY in an ABUSIVE relationship

I am currently in a relationship that I know is UNHEALTHY. Although, I would not call it abusive.

I am interested in offering support to another woman who may be going thru a hard time.

Can you commit a year to self-development? *

Yes

Level of education: *

Did not finish high school

GED or High School Diploma

Some College

Associates Degree

Bachelors Degree

Some Grad

Masters

Have you ever been thru Rites of Passage? *

Yes

I would like to go thru a Rites of Passage for women

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