Girls Who Empower, Inc. 2021-22

- Full Name*
  
  First NameMiddle InitialLast Name
- Birth Date*
  
  MonthDayYear
  Month-Day-Year
- Mobile Number*
  
  Area CodePhone Number
- E-mail*
  example@example.com
- Parent Full Name*
  
  First NameLast Name
- Mobile Number *
  
  Area CodePhone Number
- E-mail*
- Permanent Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- School name*
- School type*
- Graduation date (estimate)*
  
  DayMonthYear
- Have you ever applied to and participated in a mentorship program before?*
  
  YesNo
- If yes, how long were you a member of the program?
  
  1-3 months3-6 months6-9 months9-12 monthsOther
- Current grade point average (GPA)*
- GPA Scale*
- English Proficiency
- Have you ever taken the SAT or ACT test before?
- If yes, what is your total test Score
- List up to 5 extracurricular activities that you are involved in on-campus or off-campus.
  
  (Must provide a minimum of 2 activities. If you are not involved in any activities, provide 2 activities you would participate in and why.)
- Activity 1*
  
  0/50
- Activity 2*
  
  0/50
- Activity 3
  
  0/50
- Activity 4
  
  0/50
- Activity 5
  
  0/50
- Hobbies / Interests*
  
  ActingBasketballBowlingBakingCookingCyclingDancingDebatingDecoratingFinanceFlower arrangingGardeningGymnasticsHairstylingHikingHistoryInstrument(s)JoggingMarathonMusicNutritionOrganizing & PlanningPaintingEvent PlanningPhotographySingingSwimmingTeachingTennisTravelVolleyballMarketingBrandingDesigning NailsJournalingPoetryChess/Checkers
- Other Hobbies/ Interests
- Please utilize this opportunity to provide a concise, honest, and unique response to each question.
- Why do you want to participate in the Girls Who Empower, Inc. workshop?*
- What are your short-term and long-term goals? How do you believe GWE can assist you in achieving those goals?*
- Why do you believe that attending college or your program of interest after high school would help you achieve your future goals?*
- If there is anything you are passionate about, please specify what and why? (i.e., reading, journaling, singing, outdoor activities, styling hair, traveling, etc.)*
- How would you define commitment? How would you describe your level of commitment to your goals? *
- How would you describe your confidence level and self-love? *
- Is there any other information that you would like to share with us?
  
  0/50
- Did you have any problem while filling out this form? If so, please report it below
  
  0/50
- Do you agree to submit to us your personal and educational information and are aware that we will not use those informations instead of and only for Girls Who Empower, Inc.'s purposes? Also, be sure that once you submit this application form you will not be able to do any changes or remove any information. You confirm to be submitting only truth information, otherwise your application will be canceled and you will not be able to be admitted for the Girls Who Empower, Inc. 2021-2022*
  
  Yes, I agree / Understand
- Should be Empty: