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Empowerment Tools Application
The Empowerment Tools Program is provided for women to assist them in becoming empowered.
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First Name
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Your answer
Last Name
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Your answer
Age of Applicant:
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Your answer
Applicant’s Occupation:
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Your answer
Name & Address of Employer:
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Your answer
Phone(s) number & email address of Employer:
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Your answer
Street Address of Applicant:
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Your answer
Email Address of Applicant
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Your answer
Phone(s) number of Applicant:
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Your answer
Four References: 1 personal, others may include but not limited to educators, clergy, employer, mentors, etc.(Provide references names and contact information). Please have each reference write a letter that is signed by a Notary/Justice of the Peace and emailed to
info@princessesandladies.org
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Your answer
I agree to use the Empowerment Tool for its intended purpose. I agree to submit written updates as well as provide photos and videos that will be placed on Princesses and Ladies Inc.’s website and social media platforms to demonstrate progress.
E-Signature of Applicant
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Today's Date
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