Enrollment Form

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ENROLLMENT FORM

We provide personalized fashion assistance, mentorship, and career guidance tailored to women and girls at this time. Our simple, confidential form helps us support your confidence and success in school, work, and beyond.

Youth enrollment is here if you are under 18 (guardian consent is required).

Please complete the form below.

First name*

Last name*

Email*

Phone

How do you identify? *

Age (Optional)

Your preferred contact method*

Do you currently reside in the DFW, (Dallas - Fort Worth) Area?*

We are dedicated to supporting individuals within the Dallas-Fort Worth area, offering tailored assistance to those in our local community.

What is your main reason for requesting support with clothing and styling? (Select all that apply)*

Job interview preparation

Support for a new job

School-related needs

Social or community events

Other

If other, please specify.

6. What type of clothing do you primarily need? (Select all that apply)*

Business/professional attire

School or casual attire

Special occasion or social event attire

Other

If other, please specify.

How do you envision our program making a positive impact on your life and helping you achieve your goals?*

Aside from styling services, are you interested in additional resources such as mentorship, guidance, or other support? Please specify:

Mentorship

Interview Preparation

Career Coaching

Academic Guidance

Personal Development Resources

No, not at this time - just assistance with styling & outfits please!

Other

If other, please specify.

Is there anything else you would like us to know?

Initials*

By checking this box, I consent to sharing my personal information with the Éleve Initiative for the purpose of receiving styling assistance and related services. I understand that my information will be kept confidential and used solely for this purpose.

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