RISE Interest Form 
RISE is a community-based initiative designed to support single mothers and families in Jackson, Mississippi, through empowerment, education, and economic stability. 
Email *
RISE
Name *
Address *
Phone Number  *
Email Address *
Date of Birth  *
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Age *
Are you a single mom?  *
Why are you interested in joining the RISE program?
(Tell us what drew you to this opportunity and why you want to be part of the RISE community.) *
What do you hope to gain from your experience in the RISE program?
(Are there specific skills, goals, or areas of growth you're looking forward to?) *
RISE will require attendance at quarterly meetings. Can you commit to attending these meetings?  *
In what ways do you see yourself contributing to the RISE community?
(We want this to be a collaborative space—what strengths or perspectives will you bring?) *
What is your t-shirt size?  *
Is there anything else you’d like us to know as we consider your interest in the program?
(Feel free to share anything that might help us better understand your goals or needs.) *
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