Apply To Become a Member of the First Ladies of Poverty Foundation
Apply below so that we can determine if our program is the best fit for you!
Your First and Last Name
Your e-mail address
Your Mobile Phone Number (123) 456-7890:
Your Address - Street, City, State, Zip, Country (Example: 1 Peach St, Apt 2, Test, Louisiana, 71202, United States)
Please select the best answer for you.
I am a person of predominantly African descent.
I am a person of predominantly Asian descent.
I am a person of predominantly European descent.
I am a person of predominantly Latinx descent.
I am person of predominantly Native American descent.
Which type of development do you want most?
All of the above or a Mix of Them
Are You a Student (currently in some type of formal education program)?
Do You Identify as a U.S. Immigrant? (If yes, we definitely want to make sure we create programming that caters to our amazing immigrant community!)
Please Choose Your Age Range
17 and Under
If you have social media, please paste your links below or list your username (example:
) If not applicable, please put not applicable
Please choose the best answer for you
I seek to be a mentor.
I seek to be mentored / find a mentor.
I seek to find a mentor and be a mentor to someone else.
I am not sure yet.
We LOVE to celebrate Birthdays! Please Let Us Know When Your Birth Date Is.
How Many Languages Do You Speak?
More than 3
What have you done in the past 6 months to empower people of color? Please be as specific as possible.
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