Single Moms Success Academy – Pilot Cohort Application
Share a few details about you and what you want to learn—takes about 5 minutes.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City and State
*
Preferred Contact Method
*
Email
Phone
Text
Are you a mother currently parenting at least one child?
*
Yes
Why are you interested in joining the Single Moms Success Academy?
*
What would you most like to learn in this program? (Select all that apply)
*
Canva / Graphic Design
AI Tools
Social Media Marketing
Branding
Digital Products
Starting/Growing a Business
Remote Work Skills
Customer Service / Virtual Assistant Skills
Website Basics
Financial Literacy
Other
What is your primary goal for participating in this program?
*
Start a business
Grow an existing business
Find employment / remote work
Learn new skills
Create additional income
Explore my options
Other
Do you have reliable access to a laptop or computer?
*
Yes
No
Sometimes
Do you have reliable internet access?
*
Yes
No
Sometimes
Will you be able to attend weekly virtual sessions for the full 6-week program?
*
Yes
No
Unsure
Is there anything else you’d like to share that would help you participate successfully? (Optional)
How did you hear about the Single Moms Success Academy?
*
Submit Application
Should be Empty: