We are currently accepting interest applications for our next six-month Cohort that will start November 7, 2023
PLEASE FILL OUT THE SHORT FORM BELOW.
Can you commit for at least 2 hours a week every Tuesday Night from 5:30 PM to 7:00 PM for 6 months, and on the second Saturday every month to attend seminars/workshops/ social outings? Child care will be provided.
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Yes
No
Other
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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E-mail
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example@example.com
What is your Marital Status?
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Single - Widowed
Single - Have Been Married Before
Single - Never Married
Single and Engaged
Single - No Desire to Be Married
What best describes your race/ethnicity?
African American/Black
Asian
Latin/a
Southwestern Asian/North African (Middle Eastern)
Native American
Pacific Islander/Hawian
Multiracial/Mixed Race
Other
How long have you lived in the San Francisco Bay Area?
Less than 1 year
1 - 3 years
4 - 5 years
6 - 10 years
11 - 20 years
20+ years
For BWRADV Women Empowerment Sessions that are in-person, do you have reliable transportation?
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Yes
No
BWRADV Women Empowerment Sessions will provide childcare at each and every in-person session. How many children do you have? How old are they? (Example--> 5 children, 16,13,5,3,2)
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We would like to connect with you via a short 15 minute interview, what day are you available?
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Please Select
MONDAYS
TUESDAYS
WEDNESDAYS
THURSDAYS
FRIDAYS
SATURDAYS
SUNDAYS
What time will you be available on the day of week that you selected above?
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Hour Minutes
AM
PM
AM/PM Option
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