LeadUS Mentoring Program 2015-16

Welcome to Beautifully EmpowHERed (BE) & Authentic Growth Wellness Group (AGWG) Big Sis Lil Sis - Mentoring Program 2025 Application! We are very glad to know you are interested in participating in our program. Please carefully read this application. Make sure the information you provide is complete and accurate. Also, please do not leave any blank space. You will need to submit this form completely by December 13th, 2024 at 11:59pm. If you have any question/issue, do not hesitate to reach us at info@beautifullyempowhered.org.

Big Sis Lil Sis Personal Information
Full Name*

First NameLast Name
E-mail*
Mobile Number*

Area CodePhone Number
Birth Date*

DayMonthYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Education
School name*
Current Grade*

Short questions
Why do you want to participate in the BE & AGWG Big Sis Little Sis Program?*

0/250
What qualities are you looking for in a Big Sis/Little Sis?*

0/100
Do you have any specific goals or expectations for this program?*

0/140
Is there any other information that you would like to share with us?

Parental Consent
Parents/Guardians -

Thank you for supporting your child’s participation in the BE & AGWG Big Sis Little Sis Program. This mentorship program is designed to foster positive relationships, personal growth, and community engagement through monthly events and guided interactions between high school and junior high students. Please fill out the information below to provide your consent for your child to participate in this program.
Full Name*

First NameLast Name
Contact E-mail*
example@example.com
Contact Mobile Number*

Area CodePhone Number
I give permission for my child to participate in the BE & AGWG's Big Sis Little Sis Program. I understand that the program involves monthly events at the BE Center or within the community.

I give my consent for my child to participate in all scheduled activities, including transportation to and from community events when applicable.

I acknowledge that BE & AGWG will provide proper supervision during scheduled events, but there will be no supervision provided during times when the Big Sis and Little Sis chat via the group app. These conversations will be subject to parental and child discretion, and I understand that I am responsible for monitoring my child's online interactions if necessary. I understand that participation in the program is voluntary, and there may be certain inherent risks involved in the activities and in the unsupervised online interactions.

I understand that photographs or videos may be taken during the program’s events and may be used for promotional purposes by Beautifully EmpowHERed & Authethic Growth Wellness Group.

I have read and understood the terms outlined in this application. By signing below, I give permission for my child to participate in the BE & AGWG Big Sis Little Sis Program
Parental Consent

I give permission to my child to participate in the BE & AGWG Big Sis Lil Sis ProgramI do not give permission to my child to participate in the BE & AGWG Big Sis Lil Sis Program
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