Get Involved! | The Empowher Piece

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Get Involved!
Enroll a Teen
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APPLY TO BE A MENTOR

ENROLL YOUR MENTEE

APPLY NOW! • NOW ENROLLING TEEN GIRLS & MENTORS 🤍 •

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MENTEE

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Mentee Name*

Mentee Age*

Mentee Grade*

Guardian Name*

Guardian Email Address*

Guardian Phone Number

Program Participation Option (Checkbox – select all that apply)*

Virtual Only

In-Person

What do you hope your teen will gain from joining The EmpowHER Piece?*

Parent/Guardian Consent

"I give permission for my child to participate in The EmpowHER Piece mentorship program. I understand this enrollment is for initial registration and an interview will be scheduled to learn more about my teen girl.

First name*

Last name*

Phone*

Email

ENROLL A TEEN GIRL

2026 COPYRIGHT THE EMPOWHER PIECE • DESIGNED BY @DECAFEDIGITAL

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