Request for Assistance & Services with WOT
This include Technical service or Assistance for resources.
*Note we ask for demographic for our GRANT reporting, not as a determining factor for participating. No personal information will be listed in grant reporting or publicly. All information provided is only for internal purpose and confidential. Thank you!
18 - younger (Gen Z)
19 - 37 (Millennial/Gen Y)
38 - 63 (Gen X)
64 - 74 (Gen J)
75- 92 (Baby Boomers)
93 + ( Silent/GI)
I Identify my ethnicity as: (select all that apply)
Black or African American
Native American or American Indian
Asian / Pacific Islander
Prefer Not to answer
How did you hear about the this program?
I am interested in participating for:
Young Women of Toledo (ages 15 to 26 yrs)
Momentum Program - Entrepreunership Track
Mentorship/ Business or Job Shadowing
Women Economic Empowerment Power Hour series
Partnership with my existing group at school or work
Please share your reasons and interest to participate in any of this program activities or services?
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This form was created inside of Inclusive Inc-Women of Toledo.