TULIPS Interest Form for OUR GIRLS!
TULIPS welcomes aspirational young ladies, ages 13-21, living in the Southern Nevada area. We are especially seeking female youth who want to develop leadership skills, serve their community, and cultivate amazing mentored experiences. If this sounds like you, or a young lady you care for, then TULIPS is for you. Take a moment to complete this interest form by answering the questions below. Once we receive notice of your interest, we'll contact you to start the registration process. If under 18, please ask an adult caregiver to help you complete this form.

Thank you in advance for your interest in joining the TULIPS family. We look forward to helping you cultivate a positive, empowered, and loving mentored relationship with an elite professional woman made just for you (or the young lady you care for)!

Email address *
First and Last Name of Young Lady Seeking a Mentor *
Your answer
Address of Young Lady Seeking a Mentor *
Your answer
Phone Number(s) of Young Lady Seeking a Mentor *
Your answer
Email Address for Young Lady Seeking a Mentor *
Your answer
School and Grade of Young Lady Seeking a Mentor *
Your answer
Age of Young Lady Seeking a Mentor *
Your answer
Are you the parent and/or legal guardian/caregiver of young lady seeking a mentor *
Are you the parent and/or legal guardian/caregiver of the young lady seeking a mentor? Are you 18+? *
If you answered no above, please explain.
Your answer
Please provide your contact information, including your address, email address, and two phone numbers where you can be contacted. We must have this information to be responsive to your interest in TULIPS. *
Your answer
Please tell us the best time to contact you to discuss our programs. *
Your answer
Why are you seeking a mentor for your young lady and what are your expectations of the mentored relationship? *
Your answer
What else should we know about your young lady? *
Your answer
How did you hear about TULIPS? *
Required
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