Leading Ladies into Livelihood - Application
This form serves as an enrollment application for female students ages 13 - 19 in PPS schools participating in the anti-violence program, Safe Passage. Leading Ladies into Livelihood - a young female, PAID leadership cohort - plans to support, inspire, and encourage young women of PPS to do more than just survive, but strive to THRIVE. 
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Email *
First AND Last Name *
Phone Number
Address *
Parent First AND Last Name *
Parent Phone Number *
Grade *
What school do you attend? *
Would you like to join the Leading Ladies into Livelihood Cohort? *
Required
In what areas do you need support? *
Required
This is a PAID opportunity. You must meet the program guidelines of active and consistent involvement, Safety Model implementation, and parental involvement. Is this something you are willing to do? *
If you could improve one thing in your school or community, what would it be? *
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