✨She Shines Collective Application Form
Confidential · Compassionate · Community-Supported
We’re so glad you’re here. She Shines Collective exists to support women who are walking through challenging seasons — whether financial strain, job transition, loss, or simply putting themselves last for too long. This application helps us learn how we can best care for you (or the person you are nominating). All responses are confidential and reviewed with compassion.
Section 1: Contact Information For Applicant or Nominee
If nominating someone, please provide the name and contact information for the nominee.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred Contact Method
*
Text
Phone Call
Email
Are you applying for yourself or nominating someone?
*
Applying for myself
Nominating someone else
If nominating, please provide your name and relationship to nominee:
Section 2: About Your Current Season
This helps us understand how She Shines can support you best. You may share as much or as little as you feel comfortable with.
Please select any situations that apply:
*
Change in employment
Loss of job or reduced work hours
Loss of spouse or major life transition
Financial hardship
Health-related challenges
Caring for others before yourself
Other
In your own words, can you share briefly what brings you to She Shines Collective?(Your story helps us understand your needs and timing.)
Section 3: Hair History & Service Needs
How long has it been since your last hair appointment?
Less than 3 months
3–6 months
6–12 months
Over a year
What type of service are you hoping for? (Select all that apply)
Haircut
Grey coverage
Single-process color (going darker)
Mini highlight
Partial highlight / dimensional color
I’m not sure — I’d love your guidance
Please describe your hair currently and what you’d love help with:
*
Upload a picture of your current hair: (optional)
Browse Files
Drag and drop files here
Choose a file
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Section 4: Upcoming Needs or Events
This helps us prioritize time-sensitive needs.
Do you have any upcoming events or important dates where having your hair done would be meaningful?
*
Job interview
Important meeting
Life event (wedding, memorial, celebration, etc.)
Personal milestone
Other
If you selected "Other", please tell us about your event:
If you have an event, please share the date or timeframe:
*
Section 5: Why Should This Applicant Be Chosen?
(Optional, but helpful — especially for nominations.)
What would receiving this service mean to you/the nominee right now?
Section 6: Availability
Are you available for weekday appointments with our apprentice/co-stylist team?
*
Yes
No
Flexible
Preferred day/times:
*
Final Acknowledgment
She Shines Collective is a community-supported program with limited monthly availability. If selected, we will contact you to schedule your appointment. If not chosen this month, you may remain on our list for future openings. I confirm that the information provided is true to the best of my knowledge.
Signature
*
Date
*
-
Month
-
Day
Year
Date
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