Cart
0
Home
About
Registration
Parents
Ways to Help
Events
FAQ's
Contact
Back
Our Vision
Meet Erika
Mentor Team
News
Back
Current Member Application
New Mentee Registration
New Mentor Sign-Up
Volunteer Application
Back
Pay Membership
23-24 Calendar
Back
Become a Mentor
Become a Donor
Back
Secure the Bag 2023
Gala 2022
Cart
0
Home
About
Our Vision
Meet Erika
Mentor Team
News
Registration
Current Member Application
New Mentee Registration
New Mentor Sign-Up
Volunteer Application
Parents
Pay Membership
23-24 Calendar
Ways to Help
Become a Mentor
Become a Donor
Events
Secure the Bag 2023
Gala 2022
FAQ's
Contact
We Are No Longer Accepting Applications At This Time
2023-2024 Mentee Application
Applicant's Name
*
First Name
Last Name
Date of Birth
MM
DD
YYYY
Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What school will she be enrolled in by September 2023?
*
What grade will she be in by September 2023?
*
6
7
8
9
10
11
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email Address
*
Parent/Guardian Phone Number
*
(###)
###
####
What is your relationship?
*
Mother
Father
Grandmother
Aunt
Grandfather
Cousin
Sibling
Guardian
Will you be her point of contact for the session year?
*
Yes
No
If not, who will be?
First Name
Last Name
Why would you like for your child to participate in Pretty Girl Academy?
*
What do you feel people do not discover or know about your child?
*
In school, how is her performance, grades and behavior?
*
What extracurricular activities does your child participate in?
*
Is she interested in going to college?
*
Yes
No
Not Sure
Has she been exposed to different vocations?
*
Yes, often
Somewhat
No
Is she interested in entrepreneurship?
*
Yes
No
Not sure
Medical History
Asthma
Severe Allergies ( nut allergy, citrus, etc.)
Vision Impairment
Hearing Impairment
Speech Impairment
Mental Illness (Bipolar, Depression, Anxiety, etc.)
Social Anxiety
Other
None
How did you hear about us?
Facebook
Instagram
Google
Friend/Family
PGA Member
Woman Evolve 2019
Mentor
Other
Thank you!
