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Empower Girls Of Color To Embrace The Call of A Girl on FYER

LEADERSHIP ACADEMY APPLICATION

Child's First Name*

Child's Last Name*

Ethnicity*

Black/African American

Latino/Hispanic

Native American

Asian American

Mixed w/ Two or More Races

Parent's Full Name*

Email*

Phone*

Country/Region*

Address*

City*

Zip / Postal code*

School Currently Attending*

Age of Child*

Other

Grade*

Other

On a scale of 1 - 5, rate your child's overall emotional/social personality at home. *

1 Being Not So Well and 5 Being Great

On a scale of 1 - 5, rate your child's overall emotional/social personality at school. *

1 Being Not So Well and 5 Being Great

Does your child engage in activities outside of school with friends and/or family members?*

Yes

Somewhat

What two attributes of your daughter do you feel she possesses but doesn't express confidently?*

What do you hope your daughter will achieve after completing the Leadership Academy?*

Confidence in herself and her capabilities

Higher level of self esteem

The ability to effectively advocate for herself

Communication and social skills

Positive attitude and emotional intelligence

Pride in her culture and cultural consciousness

Is your child currently enrolled in any extra curriculum activities (ex: sports, dance, music, after school club, etc.)?*

Is your child currently receiving outside support services (ex. therapy, behavioral, learning supports, etc.)?*

How did you hear about us?*

Facebook

Instagram

WOM

SGOF Graduate or Participant

SGOF Staff

Newspaper

Website

Other

If you received a referral, please enter the following (Name, Title, Contact Number and Email)

Lastly, SGOF Leadership Academy runs March-Nov with workshops and activities. Attendance is required Saturdays 11-2p, one weekday 3:30-6p, and a 1-week summer intensive. Do you foresee any barriers to your child's attendance? If yes, please be specific.*

Thank you for your inquiry, please indicate if you are interested in connecting with SGOF in any of the following capacities.*

Join Email List

Volunteering

Donating

Fundraising

Serving on a Committee

Interested In Becoming A Board Member

Additional comments or expectations

WHAT THE GIRLS ARE SAYING

“Going through Leadership Academy helped me let down my guard and gave me the space to open up to the other girls and be able to bond with them, which led me to be more open minded and intentional when I speak and approach others.”