BOSS Program Participant Sign Up

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Eligibility* This field is required.Below are our program eligibility requirements - please check all requirements that you meet.

Identify as a young woman

High school student (or early college student)

Available to attend the in-person summer intensive (August 2- 4, 2024)

Available to connect with a mentor 1x per month (from August, 2024 - February, 2025)

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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Phone Number* This field is required.Please send the best number to reach you.

Please enter a valid phone number.

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What is your ethnicity?* This field is required.

White

Black or African American

American Indian or Alaska Native

Asian

Native Hawaiian or Other Pacific Islander

Hispanic or Latina

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Location* This field is required.Please list your current city and state.

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Where do you attend school?* This field is required.Please type the full name of your current school.

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What grade are you in?* This field is required.Please select the grade you will be in starting fall of 2024

Freshman

Sophomore

Junior

Senior

Freshman (College)

Sophomore (College)

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Why are you interested in BOSS?* This field is required.

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What is something you would like to learn from this program?Please answer with a minimum of 150 words and maximum of 250.

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Is there a friend that you'd like to bring with you to the B.O.S.S. Summit? If so, please share their name and email address, and we'll send them this form!

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