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The 2022 Young Women's Mentoring Initiative
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2.26.22 YWMI Open House Event
Name (Last, First, Middle Initiative)
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Best telephone number / Email contact info
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Date of birth
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Do you have a high school diploma or GED? High school name and graduation year
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Do you have children? Age(s)?
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Do you have childcare ?
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List three goals you plan to accomplish this year
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List three things you're passionate about
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List 3-5 words that best describe you
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Name one or more challenges/difficulties you face in your daily life
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What barriers, if any, do you have to childcare or employment? Check the boxes that apply
Transportation
Childcare
Clothing
Finding Employment
GED
ESL or Language Barriers
Mental Health
Other:
What is your biggest fear?
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What does success look like to you?
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Are you on the path toward achieving success?
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What is your biggest accomplishment thus far?
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Name three goals you hope to gain from the Young Women's Mentoring Initiative.
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