Formation Application
Thank you for your interest in joining Formation, a collaborative effort between Les Femmes de Substance of Cornell University and Southside Community Center! As a Formation program participant, you will have the opportunity to build relationships with amazing women and learn how to conquer life as a woman of color.

You and your mentor will talk about and attend activities surrounding leadership, self-care, empowerment, overcoming personal struggles, educational success, and professional development! You will have a journal to reflect on these experiences as much as you want.

Time commitment: Meet with your mentor at least once a month for a minimum of 2 hours. Meetings can be in-person or virtual. Attendance at program-wide activities and events is highly recommended.

If you have any questions, please email either Aziza Henry ( or Olubanke Agunyole (

First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Parent Phone Number *
Your answer
Parent email address *
Your answer
Student's email address
Your answer
Never submit passwords through Google Forms.
This form was created inside of Cornell. Report Abuse - Terms of Service