Participant Application
We are gathering a group of high school girls from throughout the Fox Cities to participate in 5 days of leadership training, community service, and philanthropy education focused on making a positive difference for girls within their community. We are looking for a diverse group of girls who want to make positive change,  will honestly share their thoughts and experiences and will respect the opinions of others. If this sounds like you, we would love to meet you.  

Please submit completed application, including parental consent, by December 15, 2021.
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Participant Name *
First and Last Name
Email *
Phone Number (cell and home if applicable) *
Street Address, City, State, Zip *
Date of Birth *
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What is your t-shirt size? *
Which racial identity would you choose to describe yourself? You may select more than one. *
Required
Who referred or recommended you for this program? *
What school do you currently attend? *
What Grade are you in? *
How would you describe your academic achievement? *
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