Maui GEMs: Girls Empowerment Movement- Application Form for: "Summer Internship Program" Open to Maui Girls Ages 13-19

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Please complete the following application form to be considered for the Summer Internship Program for Girls: Empowering Future Leaders 2024, organized by "What Makes You Feel Beautiful". This program aims to provide girls with a unique opportunity to gain practical experience in a professional setting and develop mentorship relationships with successful women in their community.

Email *

Full Name:

Date of Birth: *

YYYY

Age: *

Your pronouns *

Race/Ethnicity: (Note: These categories might not capture every individual's self-identification. Please choose the one you most identify with or feel is the most accurate representation.)
*

Native Hawaiian or Other Pacific Islander

Asian

Latinx

Hispanic (language)

White

African American

American Indian or Alaska Native

Other (please specify)

Required

Mailing Address: including City, State, Zip Code *

Phone Number: *

Email Address: *

School Name: *

Grade Level: *

Are you currently facing homelessness or poverty? (Yes/No)
*

Yes

Do you/your ohana receive SNAP? (Yes/No)
*

Yes

Do you or your household receive TANF/welfare? (Yes/No)
*

Yes

Are you from Maui? (Yes/No)
*

Yes

Are you a minority with limited support and restricted access to programs? (Yes/No
*

Yes

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