Empower Her Application

Thank you for your interest in joining Empower Her, our monthly group dedicated to creating a nurturing community for Black women pursuing higher education. To ensure our community remains supportive and focused on addressing the specific challenges faced by our members, we kindly ask you to answer the following questions:

Name

First Name

Last Name

Phone

(###)

###

####

What inspired you to pursue higher education?

In what ways do you hope to benefit from joining EmpowerHer?

What do you believe are the unique challenges that Black women face in higher education?

How do you envision yourself contributing to our community?

What goals are you currently working towards in your academic pursuits?

Can you share a personal or professional experience where you felt unsupported in your educational journey as a Black woman?

How do you prioritize self-care and maintain a healthy work-life balance?

Group Guidelines: (a) Confidentiality: What is shared in the group stays within the group. Respect each member's privacy; (b) Active Participation: Engage actively in discussions and activities. Your presence matters; ( c) Respectful Communication: Be mindful of your language and tone. Respect diverse opinions and experiences; (d) Empathy and Support: Offer empathy and support to fellow members. We are here to uplift each other. (e) Timeliness: Be punctual for meetings to benefit fully from the session. By signing below, the participant agrees to abide by the Black Girls Can Heal Support Group Agreement and commit to fostering a safe and supportive environment for all members. (my selection 'agree' serves as my electronic signature).