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. The program is currently open to girls ages 10-14. 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 are looking for girls who are mature, independent, respectful and williing to learn and grow.

RICH GIRLS MENTORSHIP BIRMINGHAM

✨ 2 meetups per month (1 in person, 1 virtually)
✨ Two complimentary Mentor Moments per term (a 1-on-1 session with Mentors)
✨ Real conversations, life skills, community service, 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
2 digit month, 2 digit day, 4 digit yearDate
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

Program Investment 💕

RICH GIRLS BIRMINGHAM

Program Investment helps support the overall RICH Girls experience, including monthly meetups, food, outings, program materials, venues, and other program-related expenses.

Some special events or activities may require an additional fee. Families will always be notified in advance.

The cost is $200.00 per term and can be paid in full or participants can fundraise their tuition. Families choosing to fundraise are required to pay a $50.00 non-refundable deposit upon admission to secure their child’s spot.

The deposit will be applied toward the remaining balance. All fundraising and program fees must be paid by the end of the first month of the term.

Please note: The program investment is non-refundable. No refunds will be issued if a participant chooses to withdraw or is released from the program. Any funds already paid will be transferred to the RICH Girls Village Fund to support our girls and future RICH Girls experiences.

🌟Mentor Moments

Each participant is eligible for 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
2 digit month, 2 digit day, 4 digit yearDate
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.

Should be Empty: