Project Mona Lisa | School Interest Form
Thank you for your interest in bringing Queen Lyfe Inc. programming to your school or organization! Our Project Mona Lisa program provides transformative workshops focused on self-worth, emotional wellness, leadership, and life skills for young women. Please complete the form below so we can better understand your needs and customize programming for your students.
Section 1: School Information
School / Organization Name:
School District:
School Address:
Website:
Section 2: Primary Contact
Name of Primary Contact:
Title/Role (Counselor / Dean / Administrator / Teacher / Program Coordinator / Other)
Email Address:
example@example.com
Phone Number:
Format: (000) 000-0000.
Section 3: Student Population
Grade Levels Served: Middle School (6-8) / High School (9-12)
Middle School (6-8)
High School (9-12)
Estimated Number of Students Interested:
10-15
15-25
25-40
40+
Section 4: Program Interest
Which Queen Lyfe Workshops Are You Interested In? (Check all that apply):
Affirming Your Greatness (Self-esteem & identity building)
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Project Mona Lisa | School Interest Form
Pathways to Peace (Mental health & coping strategies)
Sister Circle (Safe space discussions & connection)
Financial Literacy & Responsibility
Healthy Relationships & Boundaries
College & Career Exploration
Leadership Development
Creative Expression (Art, journaling, self-portrait capstone)
Custom Workshop (please describe below)
Custom Needs Description:
Section 5: Program Structure
Preferred Program Duration:
6 Weeks
8 Weeks
12 Weeks
Preferred Start:
Fall Semester
Spring Semester
Summer Semester
Preferred Schedule:
During School Hours
After School
Weekly Sessions
Bi-Weekly Sessions
Section 6: Logistics & Support
Is there a dedicated space available for workshops? (Circle one):
Yes
No
Not sure
Will there be a school-based point of contact (counselor/dean)?
Yes
No
Not yet identified
If yes, please provide their name and role:
Section 7: Budget & Funding
What is your estimated budget for programming?
Under $2000
$2000-$5000
$5000-$10,000
$10,000
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Project Mona Lisa | School Interest Form
Funding Source (Check all that apply):
Funding Source
School Budget
Grant Funding
District Support
Sponsorship
Not yet identified
Section 8: Goals & Impact
What are your primary goals for bringing QueenLyfe to your campus?
Section 9: Next Steps
Would you like to schedule a follow-up conversation?
Yes
No
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