SHARA Sister's Healing and Rising Through Adversity Interest/Enrollment Form
Through collaboration of three black led organizations based in the Antelope Valley (Luna Sol Yoga, Youth Leadership Coalition and Ohana Center AV), this program will provide holistic and culturally congruent services that promote healthy connections to children, family, significant others, and the community. Services will address substance use disorder, trauma, and mental illness by providing the participants with resources, opportunities, knowledge, and coping skills needed to improve self-sufficiency and reduce recidivism. The target program demographic is BIPOC women who have justice involvement within the past two years.
Email *
First & Last Name
Date Of Birth (DOB) *
Email *
 Address *
Phone number *
Referral Source

How did you hear about (SHARA) Sisters Healing and Rising through Adversity *
Have you or a close relative been involved in the justice system within the past two years. *
Do you have wifi access? *
Do you have computer access? *
What community resources do you use? *
What  type of  health, wellness, and personal care resources do you need? *
Do you identify as  a BIPOC women *
Are you currently pregnant? *
Have you given birth within the past two years? *
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