The Lillian Project Application Form
Welcome to the application for The Lillian Project. Please fill this out by 11:59pm on December 15th, 2018.

Applicants Must Meet ALL of the Following Criteria:
Harlem residents • Mother • Native-born African American • Low to Moderate Income

Program Dates:
Application Deadline: December 15th, 2018
Orientation Sessions will be held the week of January 7th, 2019.
Interviews will be conducted between January 14th and January 19th.

Sessions will begin January 28th, 2019.

Email address *
First Name *
Last Name *
Age *
Gender *
Phone number *
Current Address *
Current Zipcode *
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