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Girls Leave A Mark, Inc. is a non-profit organization that is dedicated to making the world a better place for girls and women. Our mission is to empower young girls to reach their full potential and make their mark on the world. We provide mentorship, education, and advocacy to girls and women across the globe, with the goal of breaking down the barriers that prevent them from achieving their dreams. Make a difference by getting involved and supporting our cause today.

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Application Form

Please answer each question to the best of your ability to easily move forward to the next step. For any answer that doesn't apply to you put N/A!

FILL OUT THIS FORM ON GOOGLE CHROME, NOT SAFARI!

First Name

Email

What is your date of birth * required

What role(s) are you applying for? (You can multiple roles)

Do you have a business, if so what is the name of the company??

Your Age

If you own a business, what do you sell?

Are you apart of any other non-profits or sit on any other boards, if so, what role?

How will you help the organization grow?

Do you have anything on your criminal background? *

Yes

No

Were you a teen parent, if so, what age??

Will you be willing to do a background check? *

Yes

No

If you have a criminal background, please tell us more about it and when it happened?

Do you have any knowledge, certifications , or degrees that can be beneficial to the organization?

How many hours of your time can you contribute to this organization on a weekly basis?

Do you know anyone else who may benefit from our organization, if so please put their name and phone number in the box below?

Anything else you would like to share with us?

What time(s) are you available to chat? * Required

Early morning (8AM-10AM)

Mid morning (11AM)

Afternoon (12PM-4PM)

Evening (5PM-9PM)

Weekend Anytime

Anytime

None of these times work for me, tell us more in the box below

Tell us what day and times work best for you to chat.

What date are you looking to get started? * required

Last Name

Phone Number

Your full address

What are your interest?

Do you have social media accounts, if so on what platform and what are your social media names?

Why do you want to join this organization?

What workshops are you interested in teaching, check all that apply? * Required

Leadership Development

Financial Literacy

Mentorship Program

Bible Study

Entrepreneurship Training

Community Outreach

Self Love/Self Care

Technology and Social Media Workshops

Career Development

Self Defense

Parenting Class

Let Your Hair Down

Cooking Class

ALL OF THE ABOVE

Something Else

How did you find our organization?

Please keep in mind there is an annual $316 membership fee to join our organization. Please click the link below this box to know what is included in the membership fee. The first $175 is due upfront for the cost of your shirt with the organization's logo and your logo on it (if you have a business or business you want to support) and to cover the cost of your background check. Additional shirts can be purchased for an additional fee according to our shirt maker price. The remaining balance can be split up into 2 payments of $70.50 paid according to your pay schedule within 1 month of joining or can be paid in full. If you have questions, please let our Membership Director know when she calls you.

Click here to learn more about the benefits of joining our organization.

How would you like to pay the remaining balance of $150? *

Pay in Full

2 Payments

Need More Info

What size shirt you wear and color do you prefer, black or white?

CLICK HERE TO SEE THE T-SHIRT

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Thanks for submitting, someone from our team will be in contact with you within the next 2-5 business days!

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Contact Us

Our non-profit organization is your gateway to get in touch with us. Our friendly and knowledgeable staff are always available to answer any questions you may have or provide assistance. You can reach us by phone, email, or by filling out the contact form on our website. We also have a mailing address if you'd like to send us something by post. We look forward to hearing from you and thank you for your interest in our organization.

First name

Last name

Email

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ADDRESS

Lake Wales Office:
225 Lincoln Ave

Suite 6

Lake Wales, FL 33853

PHONE

+1 877.882.5379 (EXT 3)

EMAIL

getinvolved@girlsleaveamark.org

Winter Haven Office:
301 3rd Street NW

Suite 210

Winter Haven, FL 33881

2023 Girls Leave A Mark, Inc. is a 501(c)3 non-profit that helps teen mothers and young abused women.

Copyright © 2023 by Girls Leave A Mark, Inc. Website created and powered by GLAMour Tag Consultation Services, LLC. All rights reserved.

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