Girls Taking Action Student Information Form 2020-2021
Complete this form in its entirety.
Meet the Founder: Dr. Verna Cornelia Price
Name: *
Grade: *
Required
School: *
Student ID #: *
Phone #: *
Email: *
Parent Name: *
Parent Email: *
Are you a graduating senior? *
If so, have you applied for college? *
If known, where will you be attending college?
Are you on Facebook? If so, what is your Facebook name? *
T-Shirt Size: *
How did you hear about the program? *
Why do you want to be a part of the Girls Taking Action Program? *
What do you want to learn from the Girls Taking Action Program? *
Why should you be selected to participate in the Girls Taking Action Program? *
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