Girls Thrive After School Program for High School Girls

TCC High School Girls Thrive After School Program Application
TCC High School GirlsThrive After School Program Application

The TCC High School Girls Thrive After School Program is a 36-week experience tailored for high school girls (grades 9-12) focused on developing leadership, personal growth, career readiness, and mental well-being. This program is structured into two 18-week semesters, aligning with the Lafayette Parish School Board calendar, and offers a range of engaging workshops and hands-on activities to build essential skills.

The upcoming Spring 2025 semester will run from January to May and meet after school at the TCC InspireHER Center. Please note: transportation is not provided at this time, and parents/guardians are responsible for getting participants to and from the program.
Full Name
Preferred Name if different
Date of Birth

MonthDayYear
Date
Age
Grade Level
School Name
Home Address
City
State
ZIP Code
Phone Number (Applicant's)
Email Address Applicants
example@example.com
ParentGuardian Name
Relationship to Applicant
Phone Number (Parent/Guardian)
Email Address ParentGuardian
example@example.com
Emergency Contact Name
Emergency Contact Phone Number
Relationship to Emergency Contact
How did you hear about TCC InspireHER Center and the Programs?

Social MediaSchoolFriend/FamilyOther
Why are you interested in joining the TCC InspireHer Center programs?
Do you have any previous experience with youth programs, clubs, or organizations?
Do you have any previous experience with youth programs, clubs, or organizations?

YesNo
No
If yes, please describe
Which aspects of the after-school program are you most excited about? (Check all that apply)

Leadership DevelopmentPersonal Growth and MentorshipCareer ReadinessMental Health and Well-beingCreative Expression (Art, Music, Writing)Life Skills (Cooking, Budgeting, Organization)Physical Health, Wellness, NutritionOther
Are you available to attend all weekly sessions (Monday through Friday-drop off between 2:30pm-3:45, pick up time at 6:00PM). Required to attend 4 days per week.

YesNo
If no please explain
What are some hobbies or activities you enjoy doing in your free time?
What do you hope to gain from the InspireHER Center Girls Thrive after-school program?
What are two personal goals you would like to achieve during your time in the program?
1
2
Health and Wellness Information
Do you have any allergies, medical conditions, or dietary restrictions we should be aware of?

YesNo
If yes please explain
Do you have any mental health or wellness concerns you would like support with during the program?

YesNo
If yes please explain
Will you require transportation to/from the program? Transportation is not provided at this time, but we are working to have it available in the near future. We will keep you posted on the status of transportation as we move forward.

YesNo
Membership Cost and Obligation: The Girls Thrive After School Program costs $120.00 per month ($540.00 total) for an 18-week semester. Membership requires a commitment to attend weekly workshops and participate actively in program activities. Payments can be made monthly or paid in full for a reduced rate of $500.00. Financial assistance may be available based on sponsorship funds. Are you prepared to commit to the financial obligations?

YesNo
Will you require financial assistance to participate in the program? (Financial assistance is determined based on available sponsorship funds and is offered as resources permit)

Yes (If Yes, a financial aid form will be provided upon acceptance into the program)No
During the program, photos and videos may be taken for promotional and documentation purposes. Do you consent to the use of your image in The Confidence Campaign and InspireHer Center media (e.g., social media, website, brochures)?
YesNo
Behavior and Participation Agreement:

By joining the TCC InspireHer Center Girls Thrive After School program, I agree to participate fully in all scheduled activities, abide by the program rules, and respect fellow participants and staff.
Applicant Signature

Clear
Date

MonthDayYear
Date
ParentGuardian Signature

Clear
Date

MonthDayYear
Date
Please submit your completed membership application. We will contact you by phone or email to schedule the interview portion of the application process. This interview can be by phone/video conference/ or in person.

For more information or questions, contact us at TheConfidenceCampaignorg@gmail.com or visit our website at TheConfidenceCampaign.org.
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TCC High School Girls Thrive After School Program Application