• Girls Inc. of Memphis Application FY22-23

    Please complete one application per girl

  • IMPORTANT INFORMATION

    COST: Free

    LOCATIONS:

    Girls Inc. LDT Center

    686 N Seventh St. 

    Memphis, TN 38107

    OR

    Girls Inc. South Park Center

    1568 Robin Hood Ln. 

    Memphis, TN 38111

    DATES: 

    August 8, 2022 -May 6, 2023

    Monday-Friday

    TIMES: 

    2:30-6:30pm

    PROVIDED SNACKS & MEALS:

    Afternoon Snack 

    Dinner

    NOTE: Girls Inc. of Memphis cannot provide transportation.

     

    Participant Information


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  • Parent/Guardian Information


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  • In an effort to serve you better, we'd like to know what your current needs are. Please note this data is for internal use only and is kept confidential. Our team works hard to find ways to support our families, and while your response does not guarantee fullfillment of indicated need(s), we value learning more about where to best focus our efforts.


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  • Emergency Information

  • Informed Consent/ Media Release

    I consent to my child to be photographed (still and/or video/film), and virtual sessions to be recorded for Girls Inc. of Memphis. I understand that possible uses include, but are not limited to: printed material, displays, audio/visual presentations, social media, and television. My child’s photo may be seen by the general public, if to do so furthers the goals of Girls Inc. of Memphis. You may also use my child’s voice, a quote from my child, and facts about my child’s life and work for the same purpose.

  • Strong, Smart, and Bold Outcome Survey for girls ages 9-18: 

    As a part of a large initiative, Girls Inc. of Memphis is taking part in the Strong, Smart, and Bold Outcome survey. The survey asks girls questions about topics such as nutrition, mental and physical health, school engagement and grades, leadership and relationships skills, risky behaviors, tobacco and drug use, sexual activity, and her experience at Girls Inc.

    The survey takes about 35-45 minutes.

    The survey has been designed to be taken online and will cause little or no risk to your daughter. The only potential risk is that some girls may find certain questions sensitive. Girls will not put their names on the survey and no one at Girls Inc. of Memphis will see girls' individual answers. A code will be used instead of a name. Your daughter's answers will be added to those from other girls' surveys so that we can better understand what Girls Inc. is like for her and for other girls across the U.S. and Canada. We would like all selected girls to take part in the survey, but the survey is completely voluntary, and no one is required to participate. Girls may answer some, none, or all questions. Girls may also stop taking the survey at any point. There will be no loss of benefits to you or your daughter if you decide not to take part or to stop taking the survey.

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