GirlPower Peer Mentor Application
Thank you for your interest in becoming a GirlPower Peer Mentor. Use this form to apply for the 2026–2027 GirlPower Peer Mentor program. Peer Mentors are high school students who receive training and help lead healthy relationship education activities with girls in 4th–8th grade Chrysalis After-School programs in Greater Des Moines. To apply, students must: 1. Be currently enrolled in high school 2. Be able to commit an average of 3 hours per month during first semester and 5 hours per month during second semester of the 2026-2027 school year 3. Identify as or have been socialized as female. Please complete the application fully. Chrysalis will review applications and follow up with next steps, including more information about training, scheduling, and program expectations.
Applicant Name
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First Name
Last Name
School Currently Attending
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Grade
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Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
Format: (000) 000-0000.
Cell Phone Number
*
Format: (000) 000-0000.
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Phone Number
*
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
How did you hear about GirlPower?
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What interests you about participating in GirlPower?
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If you have any questions please email Brooke Findley at bfindley@chrysalisfdn.org. After submission, the Chrysalis Foundation will be in contact via your listed email address to schedule an interview.
Submit
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