Online Internship Application Form

The Power circle application
The Power Circle is intentionally limited to six girls per grade level. Please complete the application below. Selected members will receive an approval email with enrollment details.
Student Name:

First NameLast Name
Birth Date:

MonthDayYear
Grade:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name:

First NameLast Name
Parent E-mail:
example@example.com
Phone Number:
Why are you interested in joining The Power Circle?
Are you considering Kimberly Powers Photography for senior photos in the future?

YesPossiblyNot sure yet
This answer does not impact selection for The Power Circle. It simply helps us plan for future availability.
How did you hear about The Power Circle?
Should be Empty: