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. *
Which type of development do you want most? *
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 *
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 *
We LOVE to celebrate Birthdays! Please Let Us Know When Your Birth Date Is. *
How Many Languages Do You Speak? *
What have you done in the past 6 months to empower people of color? Please be as specific as possible. *
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