RICH GIRLS Mentorship Application

RICH GIRLS Mentorship Application

RICH Girls Mentorship Program Application

RICH Girls is a mentorship program created to help girls grow in confidence, faith, and purpose. We focus on developing the whole girl—spiritually, mentally, and physically. We accomplish this through guidance, structure, and intentional experiences. RICH stands for Real, Intentional, Christ-Centered, and Honest.
Are you a new participant or returning family?

💕WHAT'S INCLUDED 💕

This program is currently open to girls ages 10–14. We also have a pilot program for girls ages 15-18. It will be tailored to the needs of that particular age group.

✨ Two meetups per month
✨ Two complimentary Mentor Moments per term (a 1-on-1 session with Mentors)
✨ Real conversations, guest drop ins, and intentional and fun activities
✨ A safe space for girls to laugh, learn, grow, and develop.

Please complete the form below.

Mentee's Name

First NameLast Name
Mentee's Date of Birth

MonthDayYear
Date
Age
Mentee's School?
Parent/Guardian's Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us?
Emergency Contact Name, Relationship, & Phone Number
Why do you believe your daughter would be a good fit?
What areas could she use support in?
Is your daughter comfortable participating in group discussions/activities?
Can your daughter communicate via phone, email, or Zoom?
Any allergies, learning needs, medical concerns, or anything you would like us to know?

Investment

Application Fee:
A one-time $15.00 application fee is required for new applicants upon acceptance. Please do not submit payment with your application. Payment will be requested once admission is confirmed.

Annual Registration Fee

There is a $25.00 annual registration fee for all participants due every July.

Renewal:
There is no renewal fee.

Parental Contribution

Parents/guardians are responsible for covering the cost of in-person activities, which typically range from $20–$50 per month. We make every effort to keep costs affordable.

Fundraising opportunities and sponsorships may be available to help offset expenses, and families who participate may benefit from those efforts. If cost is ever a concern, please communicate with program mentors for support.

🌟Mentor Moments

Each participant will receive two complimentary sessions per term, available virtually.

Additional sessions can be booked at a rate of $25.00 per 30-minute session.

These sessions are not counseling or therapy and should not replace professional mental health services.

Mentee's Name

First NameLast Name
Mentee's Date of Birth

MonthDayYear
Date
Age
Mentee's School
Parent Name

First NameLast Name
Parent Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
Emergency Contact Name, Relationship, & Phone Number
Has any contact information changed since the last term?
If so please provide updated contact information.

Have you noticed any growth in your child since starting the program? If so, please describe.
Is your child currently facing any challenges we can be mindful of, pray for, or support them through? This information will be kept confidential and used only to better support your child.
How are we doing? Please share any feedback, suggestions, or areas for improvement.

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