Learn More About LIFT's Program for Parents
Thank you for your interest in joining LIFT's free coaching program for parents. Our services are currently offered in Chicago, D.C., Los Angeles, and New York City. Please fill out the form below and a member of our team will be in touch with you shortly.
What is your first name?
What is your last name?
What is your date of birth?
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Are you the parent or caregiver of a child ages 0-8 (expecting parents included)?
Clear selection
Are you currently employed OR is someone in your household currently employed?
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Are you currently in an education program? This can include GED, ESL, licensing or certification programs, workforce development programs, etc.
Clear selection
Which of these four cities do you live in?
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Do you have stable housing for the next six (6) months?
Clear selection
Do you have the availability and interest to fully participate in LIFT's coaching program? This includes attending virtual monthly meetings, setting and working towards your goals, etc.
Clear selection
Do you have access to a video-capable device for virtual meetings? This could be a laptop with a webcam, a phone with a front-facing camera, etc.
Clear selection
What is your phone number?
What is your email address?
Which is the best way to contact you?
Clear selection
What is the best time of day to contact you?
Clear selection
How did you hear about LIFT?
If you were referred to LIFT through another organization, which organization was it? If none, leave blank.
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