EmpowerU: Student Enrollment
Welcome to EmpowerU! This training course resilience training will earn you a resume-building Resilience Certification, but more importantly, it will equip you with tools to renew you motivation and help you navigate you current and future challenges with more confidence and wellbeing.
Email *
Your first name *
Your last name *
What is the name of the advisor or the campus office that referred you to the EmpowerU Resilience Training? *
What college/university do you currently attend? *
We would like to share your completion progress with your college/university so they can validate your resilience certification as well as gather program data.  Please check the box if you consent to EmpowerU sharing your completion progress and growth data with your college/university. *
Required
What is your cell phone number? (We will use this to communicate reminders for lesson completion) *
What is the email you use most frequently?  (We will use this to send important links and program information - so be precise) *
What is your gender? *
What is your race? (Check all that apply) *
Required
What is your Ethnicity: *
Required
What year are you in college? *
I understand that the training modules average 10 minutes a day and the pace of the training is one module per day for 11-12 weeks. Once I complete this form, I will receive an email and should start right away each school day. *
Check all of your current stressors. *
Required
Is there a current official mental health or learning diagnosis that would be helpful for us to be aware of? *
Thank you so much for completing this form.  You will receive an email shortly with a link to get started right away.
A copy of your responses will be emailed to the address you provided.
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